CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Elizabeth Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,636
Cash Discount Price: $1,872
vs. Medicare Baseline: 6.51x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Elizabeth Hospital is $3,636. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,872. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 6.51x the Medicare baseline. Located in 1000 Lincoln St, Fort Morgan, CO.

Cash / Self-Pay

$1,872

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,636

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: $1,872 (335%)

Insurance Median: $3,636 (651%)

Cash: $1,872 (335% of Medicare)

Ins. Median: $3,636 (651% 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 651% of the Medicare baseline (a markup of 551%). 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
Aetna	$126 - $4,540	23%
Blue Cross Blue Shield	$126 - $876	23%
Cigna	$126 - $4,540	23%
Denver Health	$126 - $2,055	23%
Devoted Health	$126	23%
Humana	$126	23%
Kaiser	$126	23%
Medicare (plans)	$126	23%
UnitedHealthcare	$126 - $4,039	23%
Centura Employee Plan	$647	116%
United Colorado Doctor'S Plan	$3,636	651%
Direct To Employer	$3,838	688%
Multiplan	$4,399 - $4,540	788%

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 $1,872.
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 St Elizabeth 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.