CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Baylor Scott & White Medical Center - Round Rock

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $428
Cash Discount Price: $597
vs. Medicare Baseline: 4.01x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Baylor Scott & White Medical Center - Round Rock is $428. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $597. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.01x the Medicare baseline. Located in 300 University Blvd, Round Rock, TX.

Cash / Self-Pay

$597

Average discount available for prompt cash payment at this facility.

Insurance Median

$428

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $597 (559%)

Insurance Median: $428 (401%)

Cash: $597 (559% of Medicare)

Ins. Median: $428 (401% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 401% of the Medicare baseline (a markup of 301%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Baylor Scott & White Health Plan	$93 - $426	87%
Humana	$98 - $697	92%
Superior Health Plan	$98 - $107	92%
Triwest	$98	92%
Aetna	$103 - $547	96%
American Health Plan	$103	96%
Blue Cross Blue Shield	$103 - $430	96%
Corvel	$103	96%
Healthspring	$103	96%
Prime Health Services	$103	96%
Procare Advantage	$103	96%
UnitedHealthcare	$113 - $688	106%
Injury Management Organization	$122	114%
Careworks Fka Rockport	$147	138%
Sedgwick	$147	138%
Cigna	$473 - $600	443%
Midcoast	$547	512%
Quiktrip	$547	512%
University Of Mary Hardin-Baylor	$577	540%
Independent Medical System	$597	559%
Curative	$647	606%
First Health	$697	653%
Healthsmart	$697 - $746	653%
Bluebell Creameries	$746	698%
Private Health Care System	$746	698%
Three Rivers	$896	839%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $597.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76536.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center - Round Rock is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76536.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.