Echocardiogram (heart ultrasound)
Facility: Pratt Regional Medical Center
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $527
- Cash Discount Price: $1,305
- vs. Medicare Baseline: 0.94x 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.
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 |
|---|---|---|
| Christian Health Aid | $293 - $2,503 | 52% |
| UnitedHealthcare | $324 - $3,404 | 58% |
| Health Partners Of Kansas | $332 - $2,836 | 59% |
| Aetna | $351 - $3,003 | 63% |
| Choicecare | $390 - $3,337 | 70% |
| Celtic Insurance Company | $511 | 92% |
| Healthy Blue | $527 | 94% |
Consumer Guidance & Cost Commentary
For the Echocardiogram (heart ultrasound) procedure at Pratt Regional Medical Center, the facility's cash price of $1,305 is lower than the gross charge of $1,864, offering a potential savings for patients with high-deductible plans. While commercial insurance negotiated rates for this service range from $293 to $3,337 depending on the payer, the cash price may be more economical if your insurance allowed amount exceeds $1,305. It is important to note that these negotiated rates often include administrative overhead and do not necessarily reflect the lowest possible cost; patients should verify their specific plan's allowed amount before scheduling to ensure they are not paying more than the cash rate. Additionally, because the facility is a Proprietary Acute Care Hospital in Pratt, KS (ZIP 67124), you should explicitly ask about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront, bypassing the costly claims processing cycle.
When evaluating the cost of this service, it is helpful to compare the facility's pricing against the Medicare benchmark, which serves as a scientifically validated baseline for the true cost of care. The Medicare amount for this procedure is $558.25, and the facility's cash rate is approximately 2.3 times the Medicare amount, which is higher than the typical fair pricing range of 120% to 150% of Medicare. Patients should avoid using the hospital's full chargemaster list as a benchmark, as these inflated figures can make discounts appear larger than they actually are. To protect yourself from unexpected costs, always