Echocardiogram (heart ultrasound)
Facility: Providence Medical Center
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $515
- Cash Discount Price: $514
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Aetna | $162 - $515 | 29% |
| Medicaid / KanCare | $292 | 52% |
| UnitedHealthcare | $292 - $1,598 | 52% |
| Celtic | $297 - $824 | 53% |
| Healthy Blue | $297 - $541 | 53% |
| First Health | $298 | 53% |
| Oha Networks | $352 | 63% |
| Worker Compensation | $363 | 65% |
| Tricare | $515 | 92% |
| Cigna | $515 | 92% |
| Medicare (plans) | $515 | 92% |
| Midland Care Connection | $515 | 92% |
| Kansas Superior Select | $541 | 97% |
| Corizon | $669 | 120% |
| Employer Direct Healthcare | $721 | 129% |
| Well Path Prison | $721 | 129% |
| Centurion | $772 | 138% |
| Naphcare | $798 | 143% |
| Blue Cross Blue Shield | $824 - $952 | 148% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Providence Medical Center in Kansas City, KS, the facility's cash price of $514.00 is significantly lower than the typical negotiated rates charged by insurance plans, which range from $292 to $952 depending on the carrier. While the facility's cash rate is higher than the state average of $514.00, it remains substantially below the gross charge of $3,907.00 and the highest negotiated rates seen for this procedure. Patients with high-deductible plans or those who have not yet met their out-of-pocket maximum may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final bill.
The Medicare benchmark for this service is $558.25, which serves as a reliable baseline for evaluating the facility's pricing structure. The facility's cash rate of $514.00 is slightly below the Medicare amount, whereas the median negotiated payment of $1,172.00 represents a significant markup over the federal standard. This disparity highlights the importance of comparing rates against the Medicare benchmark rather than the hospital's full chargemaster list, which can be inflated to make discounts appear larger than they are. To avoid unexpected costs, patients should request a detailed, itemized bill to verify that all charges are accurate and that no services were unbundled or double-billed, ensuring they are only paying for the actual care received.