Echocardiogram (heart ultrasound)
Facility: Menorah Medical Center
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $1,511
- Cash Discount Price: $4,731
- vs. Medicare Baseline: 2.71x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 271% of the Medicare baseline (a markup of 171%). 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 - $2,566 | 52% |
| Healthyblue | $297 | 53% |
| Medicaid / KanCare | $300 | 54% |
| Unicare | $303 | 54% |
| Aetna | $303 - $2,292 | 54% |
| Blue Cross Blue Shield | $489 - $2,566 | 88% |
| Home State Health Plan | $491 | 88% |
| Oscar | $714 - $1,083 | 128% |
| Nhc Advantage | $714 - $1,083 | 128% |
| Humana | $793 - $1,511 | 142% |
| Cigna | $932 - $4,561 | 167% |
| Universal Healthcare | $1,316 - $1,996 | 236% |
| Coventry | $1,511 - $2,292 | 271% |
| Coventry Kc Mo | $1,542 - $2,338 | 276% |
| College Park Family Care Center | $1,617 - $2,452 | 290% |
| Oha Network | $1,880 - $2,851 | 337% |
| Multiplan | $1,993 - $4,561 | 357% |
| Corvel Corporation | $2,444 - $3,706 | 438% |
| Cco, Inc. | $2,820 - $4,276 | 505% |
| Triwest Health Alliance | $2,820 - $4,276 | 505% |
| Focus Healthcare Mgmt, Inc | $2,820 - $4,276 | 505% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Menorah Medical Center in Overland Park, KS, the cash price is $4,731, which matches the facility's cash median. While the facility's negotiated rates range from $292 to $4,561 depending on the insurance plan, the cash price is notably higher than the state average for this procedure. Patients with high-deductible plans may find paying cash upfront more cost-effective if their insurance negotiated rate exceeds the cash price, as they would avoid out-of-pocket costs exceeding the cash amount. It is important to note that while the facility offers a cash rate, commercial insurance contracts often result in higher out-of-pocket expenses due to administrative fees and the inclusion of deductible and co-insurance amounts.
The Medicare benchmark for this service is $558.25, which serves as a baseline for evaluating the facility's pricing; the cash price represents a significant markup compared to this federal rate. Although the facility has a 3-star rating, the primary focus for consumers should be on securing the most favorable payment terms. Before scheduling, patients should explicitly request self-pay or prompt-pay discounts, which can reduce the bill by 20% to 50% if paid in full within 30 days, bypassing the administrative costs associated with insurance claims. Additionally, if a patient receives a summary bill, they should demand a full itemized statement to verify that no unbundled codes or services not rendered have inflated the total, ensuring they are only paying for the actual care received.