Echocardiogram (heart ultrasound)
Facility: Overland Park Reg Med Ctr
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $2,036
- Cash Discount Price: $7,682
- vs. Medicare Baseline: 3.65x 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 365% of the Medicare baseline (a markup of 265%). 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 |
|---|---|---|
| Amerigroup | $292 | 52% |
| United | $292 - $3,457 | 52% |
| Healthyblue | $297 | 53% |
| Medicaid / KanCare | $300 | 54% |
| Unicare | $303 | 54% |
| Aetna | $303 - $3,088 | 54% |
| Home State Health Plan | $491 | 88% |
| Blue Cross Blue Shield | $851 - $3,303 | 152% |
| Oscar | $1,460 | 262% |
| Nhc Advantage | $1,460 | 262% |
| Humana | $1,621 - $2,036 | 290% |
| Cigna | $1,905 - $2,835 | 341% |
| Universal Healthcare | $2,689 | 482% |
| Coventry | $3,088 | 553% |
| Coventry Kc Mo | $3,150 | 564% |
| College Park Family Care Center | $3,303 | 592% |
| Oha Network | $3,841 | 688% |
| Multiplan | $4,072 - $6,146 | 729% |
| Corvel Corporation | $4,993 | 894% |
| Focus Healthcare Mgmt, Inc | $5,762 | 1032% |
| Cco, Inc. | $5,762 | 1032% |
| Triwest Health Alliance | $5,762 | 1032% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Overland Park Reg Med Ctr, the cash price is $7,682, which matches the facility's cash median. While the facility's negotiated rates range from $292 to $6,146 depending on the insurance plan, the cash rate is notably higher than the median negotiated amount of $2,036. This suggests that for patients with high-deductible plans or those without insurance, paying cash upfront might be more cost-effective than relying on insurance, as the insurer's allowed amount could exceed the cash price. However, patients should verify their specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than the direct cash rate.
To ensure you are receiving the best possible rate, it is recommended to ask the billing department about "self-pay" or "prompt-pay" discounts before check-in, as these can reduce the final bill by 20% to 50%. Additionally, if you have insurance, do not accept a summary bill without requesting a full itemized statement to check for errors, double-billing, or unbundled codes, as over 80% of hospital bills contain inaccuracies. Finally, if you receive a balance bill from an out-of-network provider at this in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency services, so you should dispute any unexpected charges with your insurer rather than paying immediately.