CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Modoc Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,781
Cash Discount Price: $2,143
vs. Medicare Baseline: 3.19x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Modoc Medical Center is $1,781. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,143. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.19x the Medicare baseline. Located in 1111 N Nagle Street, Alturas, CA.

Cash / Self-Pay

$2,143

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,781

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$558.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $558.25 (100%)

Cash / Self-Pay: $2,143 (384%)

Insurance Median: $1,781 (319%)

Cash: $2,143 (384% of Medicare)

Ins. Median: $1,781 (319% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $558.25 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 319% of the Medicare baseline (a markup of 219%). 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
Adv Med Mgmt - All Plans	$344	62%
Medi-Cal	$344	62%
Medi-Cal 7/1/24	$344	62%
Multiplan Wc	$530	95%
Ntwrks By Design Wc - All Plans	$553	99%
Integrated Hp Wc	$558	100%
Blue Shield Mcr Adv	$1,160	208%
Blue Shield Va	$1,160	208%
UnitedHealthcare	$1,160 - $2,036	208%
Partnership Hp - All Plans	$1,204	216%
Tricare	$1,221	219%
Healthnet Mcr Adv	$1,234	221%
Blue Shield Exch	$1,761	315%
Blue Cross Blue Shield	$1,762 - $1,957	316%
Blue Shield Comm - All Other Plans	$1,800	322%
Carelon - All Plans	$1,957	351%
Corvel - All Plans	$2,014	361%
Aetna	$2,036	365%
Coventry/First Health - All Plans	$2,036	365%
Galaxy Health - All Plans	$2,036	365%
Healthnet Comm - All Other Plans	$2,036	365%
Hmn - All Plans	$2,036	365%
Integrated Hp - All Other Plans	$2,036	365%
Interplan - All Plans	$2,036	365%
Multiplan - All Other Plans	$2,036	365%
Superior Ca Ppo - All Plans	$2,036	365%

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 $2,143.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93306.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Modoc Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93306.
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.