CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,434
Cash Discount Price: $4,390
vs. Medicare Baseline: 4.36x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Eastern Idaho Regional Medical Center is $2,434. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,390. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.36x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$4,390

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,434

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: $4,390 (786%)

Insurance Median: $2,434 (436%)

Cash: $4,390 (786% of Medicare)

Ins. Median: $2,434 (436% 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 436% of the Medicare baseline (a markup of 336%). 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
Blue Cross Blue Shield	$55 - $4,751	10%
Molina	$55 - $150	10%
Interwest Health	$779 - $4,501	140%
Select Health	$1,145 - $1,515	205%
Select Health Ichn Brightpath	$1,145 - $1,690	205%
Select Health Idaho (Eirmc Only)	$1,206 - $1,595	216%
Regence	$1,438	258%
Aetna	$1,489 - $2,436	267%
Doug Andrus Distributing	$1,512 - $2,001	271%
Pacificsource Health	$1,587 - $2,681	284%
University Of Utah	$1,587 - $2,101	284%
Mountain Health Co-Op	$1,890 - $3,751	339%
Cigna	$2,079 - $2,751	372%
United	$2,184 - $2,891	391%
First Choice Health Of Washington	$2,267 - $3,001	406%
Moda	$2,354 - $3,116	422%
Dmba	$2,434 - $3,221	436%
Prime Health	$2,834 - $4,251	508%
Geha Ppo Usa	$3,023 - $4,001	542%
Humana	$3,174 - $4,201	569%
Multiplan	$3,174 - $4,501	569%
First Choice Of The Midwest	$3,401 - $4,501	609%
St. John'S Health Network	$3,401 - $4,501	609%
Coventry First Health	$3,439 - $4,551	616%
Shashone-Bannock Tribal Health	$3,779 - $5,001	677%

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 $4,390.
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 Eastern Idaho Regional Medical Center 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.