CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: PAM Rehabilitation Hospital of Corpus Christi

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $129
Cash Discount Price: $969
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at PAM Rehabilitation Hospital of Corpus Christi is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $969. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.21x the Medicare baseline. Located in 345 S Water St, Corpus Christi, TX.

Cash / Self-Pay

$969

Average discount available for prompt cash payment at this facility.

Insurance Median

$129

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: $969 (907%)

Insurance Median: $129 (121%)

Cash: $969 (907% of Medicare)

Ins. Median: $129 (121% 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.

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
Aetna	$58 - $103	54%
Curative	$77	72%
Ambetter / Centene	$103	96%
Blue Cross Blue Shield	$103 - $111	96%
Christus Health Plan	$103	96%
Christus Spohn Health Network	$103 - $581	96%
Cigna	$103	96%
Ilumed Aco Reach	$103	96%
Imperial Insurance Of Texas	$103	96%
UnitedHealthcare	$103	96%
Wellcare Complete	$103	96%
Wellmed	$103	96%
Wellpoint (Amerigroup)	$103	96%
Driscoll Health Plan	$107	100%
Superior Health	$107	100%
Texas Independence Health Plan	$108	101%
Velocity Provider Ppo Network	$124 - $726	116%
Prime Health Services	$134 - $823	125%
Ninety Degree Benefits	$155	145%
Sana Benefits	$155	145%
Healthcare Highways	$533	499%
America'S Choice Provider Network	$678	635%
Provider Network Of America	$726	680%
Quik Trip	$726	680%
Usa Managed Care Organization	$726	680%
Multiplan/Phcs	$775	726%

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 $969.
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 PAM Rehabilitation Hospital of Corpus Christi 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.