Echocardiogram (heart ultrasound)
Facility: Wesley Medical Center
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $1,774
- Cash Discount Price: $9,384
- vs. Medicare Baseline: 3.18x 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 318% of the Medicare baseline (a markup of 218%). 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 |
|---|---|---|
| UnitedHealthcare | $292 | 52% |
| Medicaid / KanCare | $300 | 54% |
| Aetna | $303 - $3,350 | 54% |
| Amerigroup | $303 | 54% |
| Blue Cross Blue Shield | $1,249 | 224% |
| United | $1,417 - $4,223 | 254% |
| Health Partners Of Kansas | $1,623 - $4,692 | 291% |
| Medical Associates Health Plan | $1,774 | 318% |
| Preferred Health Choices | $1,774 | 318% |
| Spirit Aerosystems | $3,003 | 538% |
| First Health | $4,326 | 775% |
| Triwest Healthcare Alliance | $6,100 | 1093% |
| Multiplan | $6,569 - $8,446 | 1177% |
| Usa Managed Care | $7,976 | 1429% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Wesley Medical Center in Wichita, KS, the cash price is $9,384.00, which matches the facility's cash median. While the facility's negotiated rates for in-network payers range from $292 to $8,446, the cash price remains the highest figure in the dataset, indicating that paying out-of-pocket may not be the most cost-effective option for those with insurance. It is important to note that for patients with high-deductible plans, the cash price can sometimes be cheaper than the insurance negotiated rate if the insurer's allowed amount exceeds the cash price; however, in this specific case, the cash rate is the maximum. Patients should verify their specific plan's deductible status and contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront.
The facility's pricing is significantly higher than the Medicare benchmark of $558.25, with a markup ratio of 3.2 times the Medicare rate. This substantial difference highlights the typical administrative load and contract dynamics inherent in commercial insurance billing, where rates often average 200% to 300% of Medicare. If you have received a bill from this facility, you should request a detailed, itemized CPT-coded statement to ensure there are no errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies. Furthermore, if you were treated by an out-of-network provider at this in-network hospital, you may be protected from balance billing under the No Surprises