CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Poudre Valley Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,259
Cash Discount Price: $2,680
vs. Medicare Baseline: 4.05x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Poudre Valley Hospital is $2,259. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,680. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.05x the Medicare baseline. Located in 1024 S Lemay Ave, Fort Collins, CO.

Cash / Self-Pay

$2,680

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,259

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: $2,680 (480%)

Insurance Median: $2,259 (405%)

Cash: $2,680 (480% of Medicare)

Ins. Median: $2,259 (405% 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 405% of the Medicare baseline (a markup of 305%). 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
Blue Cross Blue Shield	$305 - $2,380	55%
Select Health	$433 - $1,631	78%
Aetna	$551 - $3,167	99%
Cigna	$551 - $2,933	99%
Cms	$551	99%
Devoted Health	$551	99%
Humana	$551	99%
Kaiser	$551	99%
UnitedHealthcare	$551 - $3,167	99%
Simplified Benefits Administration	$1,447 - $3,113	259%
First Health	$2,259	405%
Denver Health Medical Plan	$2,987	535%
Midlands Choice	$3,446	617%
Rocky Mountain Health Plans	$3,446	617%
Multiplan	$3,484	624%
Phcs	$3,484	624%
First Choice Of The Midwest	$3,714	665%

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 $2,680.
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 Poudre Valley Hospital 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.