CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Boone County Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,067
Cash Discount Price: $1,933
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Boone County Hospital is $1,067. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,933. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.91x the Medicare baseline. Located in 1015 Union Street, Boone, IA.

Cash / Self-Pay

$1,933

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,067

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: $1,933 (346%)

Insurance Median: $1,067 (191%)

Cash: $1,933 (346% of Medicare)

Ins. Median: $1,067 (191% 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
Wellmark Hmo	$407	73%
Wellmark Ppo - All Other Plans	$447	80%
Tricare	$558	100%
Choice Care Mcr Adv - All Plans	$943 - $1,038	169%
Humana	$943 - $2,278	169%
Iowa Hlth Adv - All Plans	$943 - $1,038	169%
Mt Carmel Hp - All Plans	$943 - $1,038	169%
UnitedHealthcare	$943 - $1,486	169%
Va Ccn-All Plans	$943 - $1,038	169%
Amerigroup Mcr Adv - All Other Plans	$953 - $1,048	171%
Aetna	$965 - $1,974	173%
Meridian Mcaid - All Plans	$1,036 - $1,139	186%
Iowa Total Care Mcaid - All Plans	$1,056 - $1,162	189%
Medicaid / KanCare	$1,067 - $1,173	191%
Healthsmart Accell Network	$1,611 - $1,772	289%
Medical Associates Hp-All Plans	$1,726 - $1,898	309%
Healthsmart Ppo - All Other Plans	$1,841 - $2,025	330%
Health Alliance-All Plans	$2,071 - $2,278	371%
Midlands Choice-All Plans	$2,117 - $2,329	379%
Mutually Preferred-All Plans	$2,186 - $2,405	392%

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 $1,933.
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 Boone 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.