Echocardiogram (heart ultrasound)
Facility: Kansas Medical Center Llc
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $504
- Cash Discount Price: $1,260
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Medicaid / KanCare | $127 | 23% |
| Indian Health | $453 | 81% |
| Tricare | $453 | 81% |
| Medadv_Wellcare | $504 | 90% |
| Ambetter / Centene | $504 | 90% |
| Blue Cross Blue Shield | $504 - $1,464 | 90% |
| Humana | $504 | 90% |
| United | $577 | 103% |
| Wppa | $602 - $1,077 | 108% |
| Aetna | $678 - $1,212 | 121% |
| Three_Rivers | $1,007 | 180% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Kansas Medical Center Llc in Andover, KS, the facility's cash price of $1,260 is lower than the median negotiated rate of $1,737 paid by insurance plans. While the facility's negotiated rate of $504 appears lower than the gross charge of $2,099, patients should be aware that many commercial payers, such as Blue Cross Blue Shield and Wppa, have negotiated ranges that can exceed the cash price, potentially resulting in higher out-of-pocket costs if they do not meet their deductible. The facility's cash rate is also significantly higher than the state average of $1,260, which suggests that while the cash price is competitive relative to the gross charge, it remains a key benchmark for comparison against other providers in the region.
Patients should verify their specific insurance allowed amounts, as some plans like Medicaid/KanCare and Indian Health have fixed negotiated rates of $127 and $453 respectively, which are substantially lower than the cash price. It is important to note that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, patients should still request an itemized bill to ensure no unbundled charges or services not rendered are included. If you have a high-deductible plan, paying the cash price of $1,260 upfront may be more cost-effective than waiting for insurance to pay a negotiated rate that could exceed this amount, provided you have the funds available and can secure a prompt-pay discount by waiving insurance submission at the time of registration.