CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Teton Valley Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $276
Cash Discount Price: $155
vs. Medicare Baseline: 0.49x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Teton Valley Hospital is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.49x the Medicare baseline. Located in 120 East Howard Ave, Driggs, ID.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$276

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: $155 (28%)

Insurance Median: $276 (49%)

Cash: $155 (28% of Medicare)

Ins. Median: $276 (49% 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
Blue Cross Blue Shield	$60 - $2,352	11%
Humana	$65 - $1,140	12%
Medicare (plans)	$65 - $1,140	12%
Prime Health Services-All Other Plans	$65 - $1,140	12%
Triwest-All Plans	$65 - $1,140	12%
UnitedHealthcare	$65 - $2,304	12%
Town And Country-All Plans	$81	15%
Cigna	$98 - $2,304	18%
Moda-All Plans	$114 - $2,182	20%
Brightpath-All Plans	$131	23%
Select Health-All Other Plans	$131 - $2,304	23%
St Lukes Brightpath-All Plans	$132 - $2,304	24%
First Choice-All Plans	$135 - $2,182	24%
Pacific Source-All Plans	$357	64%
Aetna	$1,140 - $2,255	204%
Regence Blue Shield-All Other Plans	$2,376	426%

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 $155.
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 Teton Valley 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.