CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $380
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.68x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Southeast Iowa Regional Medical Center is $380. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.68x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$380

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%)

Insurance Median: $380 (68%)

Ins. Median: $380 (68% 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.

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
American Healthplan Of Iowa - Midlevel	$53 - $151	9%
Medicaid / KanCare	$55 - $194	10%
Humana	$66 - $184	12%
American Healthplan Of Iowa - Md	$71 - $201	13%
Aetna	$93 - $186	17%
Plain Church	$121 - $2,107	22%
Blue Cross Blue Shield	$135 - $827	24%
Midlands Choice	$148 - $2,917	27%
UnitedHealthcare	$164 - $460	29%
Absolute Solutions	$167	30%
First Agency	$167	30%
Multiplan	$167	30%
Henderson County	$177	32%
Immergrun	$352	63%
Elap	$372 - $531	67%
6 Degree	$447 - $2,593	80%
Wellpoint (Amerigroup)	$1,121 - $1,815	201%
Immugrun	$1,261 - $2,042	226%
Brighton Amish Church	$1,301 - $2,107	233%
Geha	$1,862 - $3,014	334%

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 $X.
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 Southeast Iowa Regional 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.