CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mercyone Elkader Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $725
Cash Discount Price: $839
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mercyone Elkader Medical Center is $725. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $839. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.30x the Medicare baseline. Located in 901 Davidson Street Nw, Elkader, IA.

Cash / Self-Pay

$839

Average discount available for prompt cash payment at this facility.

Insurance Median

$725

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: $839 (150%)

Insurance Median: $725 (130%)

Cash: $839 (150% of Medicare)

Ins. Median: $725 (130% 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
Aetna	$118 - $1,730	21%
Blue Cross Blue Shield	$118 - $1,210	21%
Medicare (plans)	$121 - $1,269	22%
UnitedHealthcare	$127 - $2,056	23%
Iowa Total Care	$143 - $1,462	26%
Medicaid / KanCare	$145 - $1,491	26%
Amish Hospital Aid	$159 - $1,625	28%
1199 National Benefit Fund	$169 - $1,730	30%
Allied Benefit Systems	$169 - $1,730	30%
Asr Health Benefits	$169 - $1,730	30%
Christian Brother Services	$169 - $1,730	30%
Coventry	$169 - $1,730	30%
First Health	$169 - $1,730	30%
Lucent Health	$169 - $1,730	30%
Luminare Health	$169 - $1,730	30%
Medical Mutual	$169 - $1,730	30%
Meritain	$169 - $1,730	30%
Trustmark Small Business Benefits	$169 - $1,730	30%
Webtpa	$169 - $1,730	30%
Centivo	$179 - $1,833	32%
Health Choices	$184 - $1,880	33%
Medical Associates	$184 - $1,880	33%
Ambetter / Centene	$201 - $2,053	36%
Geha	$201 - $2,056	36%
Health Partners	$221 - $2,261	40%
Auxiant	$225 - $2,303	40%
Cigna	$225 - $2,303	40%
Medica	$225 - $2,303	40%
Midlands	$225 - $2,303	40%
Midlands Choice	$225 - $2,303	40%
Crime Victim Assistance	$230 - $2,350	41%
Iowa Dept Of Public Health	$230 - $2,350	41%
Claimdoc	$240 - $2,456	43%
Nova	$240 - $2,456	43%

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 $839.
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 Mercyone Elkader 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.