CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Virginia Gay Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,010
Cash Discount Price: $1,673
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Virginia Gay Hospital is $1,010. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,673. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.81x the Medicare baseline. Located in 502 North 9Th Avenue, Vinton, IA.

Cash / Self-Pay

$1,673

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,010

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: $1,673 (300%)

Insurance Median: $1,010 (181%)

Cash: $1,673 (300% of Medicare)

Ins. Median: $1,010 (181% 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	$272	49%
Wellmark Hmo	$415	74%
Wellmark Ppo-All Other Plans	$457	82%
Medicaid / KanCare	$558 - $909	100%
UnitedHealthcare	$700 - $1,010	125%
Va Ccn-All Plans	$762 - $785	136%
Health Alliance Mcr Adv	$803 - $828	144%
Medical Associates-All Plans	$1,545 - $1,592	277%
Cedar Valley Community Healthcare-All Plans	$1,622 - $1,671	291%
Humana	$1,648 - $1,698	295%
Health Partners-All Plans	$1,751 - $1,804	314%
Healthsmart-All Plans	$1,751 - $1,804	314%
Corvel-All Plans	$1,916 - $1,973	343%
Health Alliance-All Other Plans	$1,957 - $2,016	351%

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 $1,673.
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 Virginia Gay 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.