CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Childrens Medical Center Plano

Billing Code: 76536 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$158

about 1.5× the $107 Medicare rate · typically $81–$355

modeled estimate · not a bill or quote

What this hospital charges insurers

$327

Well above the fair price

about $169 over the fair price · 3.1× Medicare

Medicare pays $107 Fair price $158 This hospital $327 Cash price $872 Hospital's list price $1,163

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $41 Priciest $327

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, thyroid and neck is about $158 (about 1.5× the $107 Medicare rate). Childrens Medical Center Plano charges insurers about $327, or about $872 in cash — well above the fair price. Located in Plano, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $158. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$550 - $872	515%
Blue Cross Blue Shieldmajor	$187 - $791	175%
Aetnamajor	$90 - $930	84%
Cignamajor	$475 - $802	445%
Humanamajor	$90 - $872	84%
Health Net	$814	762%
Molina	$105	98%
+ 13 smaller / regional plans	$90 - $989

Government programs also on file: Medicaid.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 872), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76536.

Insurance Before you use insurance

Call your insurance company to confirm Childrens Medical Center Plano is in-network.
Ask your insurer whether prior approval is required for CPT code 76536.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Childrens Medical Center Plano

Compare: Ultrasound, thyroid and neck at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.