CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Kootenai Health

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $354
Cash Discount Price: $1,748
vs. Medicare Baseline: 0.63x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Kootenai Health is $354. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,748. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.63x the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$1,748

Average discount available for prompt cash payment at this facility.

Insurance Median

$354

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: $1,748 (313%)

Insurance Median: $354 (63%)

Cash: $1,748 (313% of Medicare)

Ins. Median: $354 (63% 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
Coordinated Care Of Washington	$42 - $122	8%
Molina Healthcare Of Idaho	$42 - $922	8%
Molina Healthcare Of Washington	$42 - $122	8%
Blue Cross Blue Shield	$65 - $2,244	12%
Humana	$65 - $565	12%
Magellan	$65 - $177	12%
Premera	$65 - $1,541	12%
Regence Blue Shield Of Idaho	$65 - $565	12%
UnitedHealthcare	$65 - $2,244	12%
Wellpoint	$65 - $177	12%
Pacificsource	$66 - $2,042	12%
Aetna	$68 - $2,069	12%
Group Health/Kaiser	$82 - $2,033	15%
Mountain Health Co-Op	$1,680 - $1,932	301%
Cigna	$1,776 - $2,072	318%
Interwest Health	$1,843 - $2,119	330%
First Choice Health (Ameriben)	$1,849 - $2,159	331%

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 $1,748.
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 Kootenai Health 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.