Echocardiogram (heart ultrasound)
Facility: Nmc Health
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $399
- Cash Discount Price: $898
- vs. Medicare Baseline: 0.71x 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 |
|---|---|---|
| Bluestem Pace | $177 - $508 | 32% |
| Wppa | $231 - $1,180 | 41% |
| Occunet | $252 - $1,287 | 45% |
| Samaritan Ministries International | $273 - $1,394 | 49% |
| Medincrease Health Plan | $273 - $1,394 | 49% |
| Medicaid / KanCare | $284 - $812 | 51% |
| Leading Age | $284 - $812 | 51% |
| Prime Health Services | $315 - $1,609 | 56% |
| Aetna | $346 - $355 | 62% |
| UnitedHealthcare | $378 - $1,931 | 68% |
| Cigna | $399 - $2,038 | 71% |
| Blue Cross Blue Shield | $1,532 | 274% |
Consumer Guidance & Cost Commentary
For the Echocardiogram (heart ultrasound) procedure at Nmc Health in Newton, KS, the facility's cash median rate of $898.00 is notably lower than the gross charge of $1,493.00, offering potential savings for patients with high-deductible plans who may not utilize insurance. While the facility's negotiated rates with major payers like UnitedHealthcare and Cigna range from $378 to $2,038, the cash price remains a competitive benchmark against the state average. It is important to note that while commercial negotiated rates often exceed cash prices due to administrative overhead and contract dynamics, patients should verify their specific plan's allowed amount before scheduling, as some in-network rates can be significantly higher than the cash option.
To ensure you are not overcharged, we recommend requesting an itemized billing audit to review every line item and confirm that no services were unbundled or rendered incorrectly, as over 80% of hospital bills contain errors. Additionally, if you receive a balance bill for out-of-network ancillary services, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency care at in-network facilities. Finally, do not accept summary bills as final invoices; instead, demand a full CPT-coded statement and consider asking the hospital for a prompt-pay discount, which can reduce the total cost by 20% to 50% if paid upfront.