CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Madison County Health Care System

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $1,414
  • Cash Discount Price: $1,740
  • vs. Medicare Baseline: 2.53x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Madison County Health Care System is $1,414. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,740. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.53x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$1,740

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,414

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: $1,740 (312%)
Insurance Median: $1,414 (253%)
Cash: $1,740 (312% of Medicare)
Ins. Median: $1,414 (253% 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 253% of the Medicare baseline (a markup of 153%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $415 - $457 74%
Aetna $935 - $1,414 167%
Medical Associates Hp - All Plans $935 167%
Medigold-All Plans $935 167%
Tricare $935 167%
UnitedHealthcare $935 - $1,958 167%
American Hp Mcr Adv-All Plans $982 176%
Iowa Total Care Mcaid-All Plans $1,022 183%
Molina Mcaid/Chip -All Plans $1,058 190%
Amerigroup Mcaid-All Plans $1,084 194%
Madison County Sheriff-All Plans $1,088 195%
Oscar - All Plans $1,403 251%
Corvel Wc-All Plans $1,958 351%
Choicecare-All Plans $2,066 370%
First Choice-All Plans $2,066 370%
First Health-All Plans $2,066 370%
Integrated Hp-All Plans $2,066 370%
Mutual Of Omaha-All Plans $2,066 370%
Plaines Health-All Plans $2,066 370%
Preferred Hlth Ntwork-All Plans $2,066 370%
Principal Healthcare-All Plans $2,066 370%
Usa Managed Care-All Plans $2,066 370%
Medimore Employee Hp - All Plans $2,132 382%
Midlands Choice - All Plans $2,132 382%
Benefit Admin Of America-All Plans $2,175 390%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals