CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Monroe County Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,148
Cash Discount Price: $2,586
vs. Medicare Baseline: 3.85x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Monroe County Hospital is $2,148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,586. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.85x the Medicare baseline. Located in 6580 165Th Street, Albia, IA.

Cash / Self-Pay

$2,586

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,148

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: $2,586 (463%)

Insurance Median: $2,148 (385%)

Cash: $2,586 (463% of Medicare)

Ins. Median: $2,148 (385% 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 385% of the Medicare baseline (a markup of 285%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Wellmark Hmo	$600	107%
Wellmark Ppo - All Other Plans	$646	116%
Mahp Mcare - All Plans	$1,770 - $1,850	317%
Tricare	$1,770 - $1,850	317%
UnitedHealthcare	$1,770 - $4,185	317%
Va Ccn - All Plans	$1,770 - $1,850	317%
Amerigroup Mcare	$1,788 - $1,869	320%
Humana	$1,788 - $1,869	320%
Wellmark Mcare	$1,788 - $1,869	320%
Aetna	$1,805 - $4,141	323%
Iowa Total Care Mcaid - All Plans	$2,106 - $2,202	377%
Molina Mcaid - All Plans	$2,137 - $2,234	383%
Amerigroup Mcaid - All Other Plans	$2,168 - $2,266	388%
Centivo - All Plans	$2,655 - $2,775	476%
Midlands Choice - All Plans	$2,950 - $3,084	528%
Preferred Hlth - All Plans	$3,160 - $3,304	566%
Geha - All Plans	$3,371 - $3,524	604%
Multiplan - All Plans	$3,793 - $3,964	679%
Integrated Hp - All Plans	$4,088 - $4,273	732%

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 $2,586.
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 Monroe County Hospital 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.