Echocardiogram (heart ultrasound)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $2,057
- Cash Discount Price: $1,234
- vs. Medicare Baseline: 3.68x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 368% of the Medicare baseline (a markup of 268%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Oncology Patient Assistance Programs [2295] | $1,687 | 302% |
| Lucent Health [6000] | $1,687 | 302% |
| Healthcare Highways [2210] | $1,687 | 302% |
| Black Lung [6055] | $1,687 | 302% |
| Web Tpa [2115] | $1,687 | 302% |
| Aetna | $1,687 | 302% |
| Blue Cross Blue Shield | $1,687 | 302% |
| Hooray Health [8000] | $1,687 | 302% |
| Department Of Corrections [1340] | $2,057 | 368% |
| American Postal Workers Union [1070] | $2,378 | 426% |
| Cigna | $2,378 | 426% |
| Healthpartners [1500] | $2,378 | 426% |
| National Association Of Letter Carriers [1695] | $2,378 | 426% |
| Humana | $2,427 | 435% |
| 1199 Seiu Benefit Fund [3505] | $2,770 | 496% |
| Enablecomp [1350] | $2,880 | 516% |
| Worker'S Comp [2125] | $2,880 | 516% |
| Administrative Concepts [1005] | $3,197 | 573% |
| First Health [1375] | $3,197 | 573% |
| American Healthcare [1055] | $3,197 | 573% |
| Multiplan [1680] | $3,197 | 573% |
| Coventry Healthcare [1320] | $3,373 | 604% |
| Ks Disability Determination [6090] | $4,114 | 737% |
Consumer Guidance & Cost Commentary
For the Echocardiogram (heart ultrasound) procedure at the University Of Kansas Health System - St Francis Campus in Topeka, KS, the negotiated rates for in-network payers range from $1,687 to $4,114, with a median negotiated amount of $2,057. This facility's cash price of $1,234 is significantly lower than the median negotiated rate, which is a common occurrence where commercial contracts include administrative overhead and risk premiums that exceed the actual cost of care. While the facility is a voluntary non-profit church-owned acute care hospital, patients should be aware that their specific insurance plan's negotiated rate could still exceed the cash price, making self-pay or prompt-pay options potentially more cost-effective if the patient's deductible has not been met.
When evaluating this price against the broader healthcare landscape, it is important to compare rates to the Medicare benchmark rather than the facility's gross charge. The Medicare amount for this code is $558.25, and the facility's cash rate of $1,234 represents a markup of 3.7 times the Medicare rate. Although commercial negotiated rates often average between 200% and 300% of Medicare, the cash price here is notably lower than the median negotiated amount, suggesting that paying out-of-pocket or utilizing a prompt-pay discount could result in substantial savings compared to standard insurance billing. Consumers are encouraged to verify their specific plan's allowed amount before scheduling and to request a waiver of insurance submission if they choose to pay the cash rate directly to avoid automatic claims processing.