Echocardiogram (heart ultrasound)
Facility: Kansas Heart Hospital
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $716
- Cash Discount Price: $945
- vs. Medicare Baseline: 1.28x 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 |
|---|---|---|
| Wppa - All Plans | $116 - $716 | 21% |
| Multiplan - All Plans | $261 - $1,611 | 47% |
| Aetna | $283 - $1,790 | 51% |
| Soonerselect Mcaid - All Plans | $290 - $1,790 | 52% |
| UnitedHealthcare | $290 - $1,790 | 52% |
| Medicaid / KanCare | $290 - $1,790 | 52% |
| Blue Cross Blue Shield | $290 - $1,790 | 52% |
| Celtic Mcaid - All Other Plans | $290 - $1,790 | 52% |
| Tricare | $453 | 81% |
| Humana | $504 | 90% |
| Celtic Mcr Adv | $504 | 90% |
Consumer Guidance & Cost Commentary
For the CPT code 93306, Echocardiogram (heart ultrasound), Kansas Heart Hospital in Wichita, KS has a gross charge of $1,500.00. This rate is significantly higher than the Medicare benchmark of $558.25, with a ratio of 1.3 times the Medicare amount. While the facility offers a cash median price of $945.00, commercial insurance negotiated rates vary widely; for example, Wppa - All Plans has a low of $116.00 and a high of $716.00 across three plans, whereas Aetna and UnitedHealthcare have negotiated ranges starting at $290.00 up to $1,790.00. Patients should note that while in-network insurance provides a ceiling rate, the actual amount paid depends heavily on individual plan deductibles and copays, which can sometimes result in higher out-of-pocket costs than paying cash directly.
To minimize costs, patients should verify if their specific plan has a deductible that has already been met, as this could allow them to pay the lower negotiated rate immediately. If a patient has a high deductible or no coverage, paying the cash median of $945.00 might be more affordable than the insurance negotiated rates, which can reach up to $1,790.00 for some payers. Additionally, patients are encouraged to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Before scheduling, it is crucial to request an itemized bill to ensure