CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Methodist Jennie Edmundson

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,141
Cash Discount Price: $684
vs. Medicare Baseline: 2.04x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Methodist Jennie Edmundson is $1,141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $684. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.04x the Medicare baseline. Located in 933 East Pierce Street, Council Bluffs, IA.

Cash / Self-Pay

$684

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,141

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: $684 (123%)

Insurance Median: $1,141 (204%)

Cash: $684 (123% of Medicare)

Ins. Median: $1,141 (204% 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 204% of the Medicare baseline (a markup of 104%). 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
Medicare (plans)	$183 - $3,810	33%
Elite Choice - Mje	$349 - $1,141	63%
Ambetter / Centene	$380 - $1,158	68%
Blue Cross Blue Shield	$419 - $4,952	75%
Midlands Choice	$459 - $5,333	82%
Aetna	$468 - $4,571	84%
Humana	$550	99%
Medica	$558 - $3,429	100%
UnitedHealthcare	$558 - $4,571	100%
Ne Furniture Mart	$943 - $4,571	169%
Medica Choice	$1,024 - $3,810	183%
Wellmark	$1,052 - $1,157	188%

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 $684.
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 Methodist Jennie Edmundson 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.