CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mercyone Clinton Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $878
  • Cash Discount Price: $1,996
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mercyone Clinton Medical Center is $878. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,996. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.57x the Medicare baseline. Located in 1410 North 4Th Street, Clinton, IA.
Cash / Self-Pay
$1,996

Average discount available for prompt cash payment at this facility.

Insurance Median
$878

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: $1,996 (358%)
Insurance Median: $878 (157%)
Cash: $1,996 (358% of Medicare)
Ins. Median: $878 (157% 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.

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
Iowa Total Care $503 90%
Medicaid / KanCare $508 - $510 91%
Bcn Domestic $558 100%
Blue Benefit Administrators Of Massachusetts $558 100%
Blue Care Network $558 100%
Blue Cross Blue Shield $558 - $576 100%
Blue Distinction Transplant $558 100%
Blue Shield - Ca $558 100%
Blue Shield - Id (Regence) $558 100%
Blue Shield - Ny Highmark Northeastern $558 100%
Blue Shield - Ny Highmark Western $558 100%
Blue Shield - Pa (Highmark) $558 100%
Blue Shield - Wa (Regence) $558 100%
Kaiser Domestic $558 100%
Pre-Employment $558 100%
Wc Domestic $558 100%
Aetna $570 - $2,687 102%
Medicare (plans) $570 - $593 102%
UnitedHealthcare $582 - $3,071 104%
Geha $653 117%
Amish Hospital Aid $774 139%
Oscar $794 142%
Health Choices $869 156%
Medical Associates $869 156%
Preferred Health Choice $888 159%
Ambetter / Centene $977 175%
Claimdoc $1,169 209%
Nova $1,169 209%
The Alliance $1,863 334%
1199 National Benefit Fund $2,687 481%
Allied Benefit Systems $2,687 481%
Asr Health Benefits $2,687 481%
Christian Brother Services $2,687 481%
Coventry $2,687 481%
First Health $2,687 481%
Lucent Health $2,687 481%
Luminare Health $2,687 481%
Medical Mutual $2,687 481%
Meritain $2,687 481%
Trustmark Small Business Benefits $2,687 481%
Webtpa $2,687 481%
Health Partners $2,693 482%
Auxiant $2,764 495%
Cigna $2,764 495%
Medica $2,764 495%
Midlands $2,764 495%
Midlands Choice $2,764 495%
Multiplan $2,764 495%
Qualcare $2,764 495%
Usa Managed Care $2,917 523%
Crime Victim Assistance $3,071 550%
Iowa Dept Of Public Health $3,071 550%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1410 North 4Th Street, Clinton, IA 52732
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals