CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Loring Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,297
Cash Discount Price: $1,365
vs. Medicare Baseline: 2.32x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Loring Hospital is $1,297. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,365. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.32x the Medicare baseline. Located in 211 Highland Avenue Po Box 217, Sac City, IA.

Cash / Self-Pay

$1,365

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,297

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: $1,365 (245%)

Insurance Median: $1,297 (232%)

Cash: $1,365 (245% of Medicare)

Ins. Median: $1,297 (232% 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 232% of the Medicare baseline (a markup of 132%). 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
Meritain	$341	61%
Bas	$512	92%
Aetna	$648 - $1,706	116%
Auxiant	$853	153%
Blue_Cross	$1,024 - $1,706	183%
Champva	$1,024	183%
Health_Partners	$1,024	183%
Admin_Concepts	$1,092	196%
UnitedHealthcare	$1,194 - $1,706	214%
Va	$1,280	229%
Champus	$1,297	232%
Humana	$1,501 - $1,706	269%
Healthscope	$1,535	275%
Midlands_Choice	$1,604	287%
Cigna	$1,638	293%

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 $1,365.
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 Loring 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.