CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Lukes Regional Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $280
Cash Discount Price: $468
vs. Medicare Baseline: 0.50x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Lukes Regional Medical Center is $280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $468. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.50x the Medicare baseline. Located in 2720 Stone Park Boulevard, Sioux City, IA.

Cash / Self-Pay

$468

Average discount available for prompt cash payment at this facility.

Insurance Median

$280

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: $468 (84%)

Insurance Median: $280 (50%)

Cash: $468 (84% of Medicare)

Ins. Median: $280 (50% 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
Nebraska Total Care	$56 - $361	10%
Aetna	$63 - $1,340	11%
Blue Cross Blue Shield	$64 - $545	11%
Molina	$64 - $545	11%
Amerivantage	$66 - $561	12%
Humana	$66 - $561	12%
UnitedHealthcare	$66 - $1,463	12%
Avera Health Plan	$95 - $903	17%
Health Partners Open Network	$129 - $819	23%
Wellmark Uph Self-Funded	$135 - $388	24%
Cigna	$166 - $874	30%
Amerigroup	$486	87%
Iowa Total Care	$486	87%
Medica Exchange Inspire	$717	128%
Medica Exchange Insure	$803	144%

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 $468.
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 Lukes 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.