CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: UW Health

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $558
Cash Discount Price: $776
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at UW Health is $558. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $776. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.00x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$776

Average discount available for prompt cash payment at this facility.

Insurance Median

$558

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: $776 (139%)

Insurance Median: $558 (100%)

Cash: $776 (139% of Medicare)

Ins. Median: $558 (100% 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
Aetna	$127 - $2,250	23%
Blue Cross Blue Shield	$127 - $1,542	23%
Medicaid / KanCare	$127	23%
Humana	$185 - $558	33%
Medicare (plans)	$185 - $614	33%
Mychoice Wi Medical Adv	$185 - $558	33%
UnitedHealthcare	$185 - $2,395	33%
Cigna	$343 - $2,488	61%
Quartz Fully Insured	$349 - $1,081	63%
Quartz Aso	$394 - $1,702	71%
Alliance Premier Network	$406 - $1,701	73%
The Alliance	$440 - $2,190	79%
Ecoh	$478 - $2,454	86%
Hfn	$478 - $2,454	86%
Wps	$600	107%
Beloit Healt System	$696 - $2,812	125%
Mercy Care	$840	150%
Workers Comp	$895	160%
Wps Ppo	$2,410	432%
Mercycare	$2,909	521%
First Health/Coventry	$3,065	549%
Health Payment Systems	$3,637	652%
Healthsmart	$3,637	652%
Sheboygan Employers Health Network	$3,879	695%
Multiplan	$4,335	777%

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 $776.
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 UW 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.