Echocardiogram (heart ultrasound)
Facility: Lmh
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $561
- Cash Discount Price: $733
- vs. Medicare Baseline: 1.00x 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 |
|---|---|---|
| UnitedHealthcare | $180 - $1,947 | 32% |
| Blue Cross Blue Shield | $295 - $2,202 | 53% |
| Medicare (plans) | $550 | 99% |
| Cigna | $550 - $1,958 | 99% |
| Haskell Indian Health Services | $550 | 99% |
| Humana | $550 | 99% |
| Allwell | $561 | 100% |
| Ambetter / Centene | $853 | 153% |
| Aetna | $1,867 - $2,433 | 334% |
| Non Contracted | $2,345 | 420% |
| First Health | $2,726 | 488% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) procedure at Lmh in Lawrence, KS, the cash median price is $733. This rate is significantly lower than the facility's gross charge of $2,932 and serves as a strong benchmark for patients seeking cost certainty. While the facility's negotiated rates range from $180 to $2,726 depending on the insurance carrier, the cash price of $733 may be the most affordable option for individuals with high-deductible plans or those without insurance, as some commercial negotiated rates exceed this amount. Patients should verify with the hospital whether "self-pay" or "prompt-pay" discounts are available, as paying upfront can often reduce the final balance further.
The Medicare amount for this service is $558.25, which provides a clear baseline for evaluating the facility's pricing markup. Although the cash rate of $733 is higher than the Medicare benchmark, it remains well below the gross charge and is comparable to the negotiated rates offered by several payers such as Allwell ($561) and Medicare plans ($550). It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still request an itemized bill to ensure no unbundled codes or services not rendered have inflated the total. By comparing the $733 cash rate directly to the Medicare amount and specific negotiated rates, patients can make informed decisions about whether to pay out-of-pocket or utilize their insurance coverage.