CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Decatur County Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $449
  • Cash Discount Price: $399
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Decatur County Hospital is $449. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $399. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.80x the Medicare baseline. Located in 1405 Nw Church Street, Leon, IA.
Cash / Self-Pay
$399

Average discount available for prompt cash payment at this facility.

Insurance Median
$449

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: $399 (71%)
Insurance Median: $449 (80%)
Cash: $399 (71% of Medicare)
Ins. Median: $449 (80% 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
Aetna $65 - $1,790 12%
Tricare $65 - $1,224 12%
UnitedHealthcare $65 - $1,926 12%
Amerigroup Mcaid-All Plans $68 - $2,379 12%
Everystep Hospice-All Plans $81 - $1,178 15%
Misc Commercial-All Plans $113 - $1,654 20%
Wellmark Hmo $118 - $415 21%
Wellmark Ppo - All Other Plans $118 - $457 21%
Rural Carrier Benefit Plan-All Plans $119 - $1,745 21%
Christian Healthcare -All Plans $124 - $1,813 22%
Ntca The Rural Broadband-All Plans $132 - $1,926 24%
Farm Bureau Financial-All Other Plans $140 - $2,039 25%
Farm Bureau Property And Ca $140 - $2,039 25%
Priority Health-All Plans $155 - $2,266 28%
Iowa Total Care Mcaid-All Plans $158 - $2,311 28%
Blue Cross Blue Shield $160 - $725 29%
Champva -All Plans $225 - $1,020 40%
Benefit Admin System-All Plans $324 - $1,473 58%
Humana $364 - $1,654 65%
Meritain Health-All Plans $364 - $1,654 65%
All Savers-All Plans $374 - $1,700 67%
Allied Benefit System-All Plans $374 - $1,700 67%
American Family Ins Grp-All Plans $374 - $1,700 67%
Medica-All Other Plans $399 - $1,813 71%
Midlands Choice-All Plans $400 - $2,221 72%
Golden Rule-All Plans $424 - $1,926 76%
Cigna $429 - $1,949 77%
Medical Mutual-All Plans $439 - $1,994 79%
Medi Share-All Plans $454 - $2,062 81%
Uhss-All Plans $454 - $2,062 81%
Health Partners-All Plans $459 - $2,085 82%
Lewermark-All Plans $474 - $2,153 85%
Mail Handlers Benefit-All Plans $489 - $2,221 88%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1405 Nw Church Street, Leon, IA 50144
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals