CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Seton Medical Center Harker Heights

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $397
Cash Discount Price: $102
vs. Medicare Baseline: 3.72x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Seton Medical Center Harker Heights is $397. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.72x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$102

Average discount available for prompt cash payment at this facility.

Insurance Median

$397

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: $102 (95%)

Insurance Median: $397 (372%)

Cash: $102 (95% of Medicare)

Ins. Median: $397 (372% 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 372% of the Medicare baseline (a markup of 272%). 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
Healthscope Benefits [2290]	$183	171%
UnitedHealthcare	$183 - $397	171%
Aetna	$188 - $584	176%
Healthcare Highways [2210]	$397	372%
Medicaid / KanCare	$397 - $1,091	372%
Oncology Patient Assistance Programs [2295]	$397	372%
Selecthealth [3740]	$397	372%
Web Tpa [2115]	$397 - $814	372%
Humana	$666 - $735	624%
Blue Cross Blue Shield	$753	705%
First Care Commercial [1371]	$764	715%
Allied Benefit Systems Inc [1030]	$814	762%
Cigna	$882	826%

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 $102.
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 Seton Medical Center Harker Heights 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.