CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Wilcox Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,883
Cash Discount Price: $1,476
vs. Medicare Baseline: 3.37x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Wilcox Memorial Hospital is $1,883. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,476. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.37x the Medicare baseline. Located in 3-3420 Kuhio Highway, Lihue, HI.

Cash / Self-Pay

$1,476

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,883

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: $1,476 (264%)

Insurance Median: $1,883 (337%)

Cash: $1,476 (264% of Medicare)

Ins. Median: $1,883 (337% 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 337% of the Medicare baseline (a markup of 237%). 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
Hmsa	$133 - $696	24%
UnitedHealthcare	$133	24%
Alohacare	$223 - $696	40%
Ohana	$229 - $780	41%
Mdx	$696 - $2,080	125%
Devoted	$729	131%
Hwmg/Hmaa	$1,861 - $2,033	333%
Kaiser	$1,904 - $2,080	341%
Multiplan	$1,904 - $2,210	341%
Verdegard	$1,904 - $2,080	341%
Pac Admin	$2,142 - $2,340	384%
Hcha	$2,624	470%

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 $1,476.
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 Wilcox Memorial 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.