CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Medical City Alliance

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $228
Cash Discount Price: $2,250
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Medical City Alliance is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,250. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.13x the Medicare baseline. Located in 3101 North Tarrant Parkway, Fort Worth, TX.

Cash / Self-Pay

$2,250

Average discount available for prompt cash payment at this facility.

Insurance Median

$228

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: $2,250 (2107%)

Insurance Median: $228 (213%)

Cash: $2,250 (2107% of Medicare)

Ins. Median: $228 (213% 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 213% of the Medicare baseline (a markup of 113%). 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
Amerigroup	$105	98%
Cook Childrens Health Plan	$105	98%
Parkland Community Health Plan	$105	98%
United	$105 - $646	98%
Cigna	$110 - $463	103%
Aetna	$113 - $2,068	106%
Molina	$115 - $117	108%
Superior Health Plan	$116 - $199	109%
Humana	$131 - $882	123%
Blue Cross Blue Shield	$133 - $1,263	125%
Healthcare Highways	$405 - $962	379%
Evry Health	$427 - $734	400%
Curative Administrators	$662 - $1,138	620%
Multiplan Phcs	$1,158 - $1,992	1084%
Healthsmart Preferred Care	$1,241 - $2,134	1162%
Independent Medical Systems	$1,655 - $2,845	1549%
National Healthcare Solutions	$1,655 - $2,845	1549%

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 $2,250.
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 Medical City Alliance 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.