Echocardiogram (heart ultrasound)
Facility: Kansas City Orthopaedic Institute
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $1,273
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.28x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 228% of the Medicare baseline (a markup of 128%). 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 |
|---|---|---|
| Aetna | $490 | 88% |
| UnitedHealthcare | $490 | 88% |
| Cigna | $516 | 92% |
| Blue Cross Blue Shield | $1,273 | 228% |
Consumer Guidance & Cost Commentary
For the Echocardiogram (heart ultrasound) procedure at Kansas City Orthopaedic Institute in Leawood, KS, the negotiated rate is $1,273, which is significantly higher than the state average of $558.25 (Medicare amount). While commercial payers like Blue Cross Blue Shield, Cigna, and UnitedHealthcare all have a single plan paying this exact negotiated amount, patients should be aware that cash-pay options are often more affordable. If you have a high-deductible plan, paying out-of-pocket might result in lower costs, especially since the cash price is not listed here but could be lower than the $1,273 insurance rate. We strongly recommend asking the facility directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if you settle the account upfront.
It is important to verify your specific plan details before scheduling, as assuming that being in-network guarantees the lowest possible price is a common mistake. Different insurance carriers negotiate different rates, and some facilities may charge significantly more than others for the same service. Additionally, if you choose to pay with insurance, ensure you understand your deductible status, as you may be responsible for the full negotiated rate if you haven't met your out-of-pocket threshold. To avoid unexpected costs, always request an itemized bill before paying and review it line-by-line to ensure no errors, unbundled codes, or services not rendered are included, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit dispute.