Echocardiogram (heart ultrasound)
Facility: Grisell Memorial Hospital
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $2,217
- Cash Discount Price: $2,415
- vs. Medicare Baseline: 3.97x 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 397% of the Medicare baseline (a markup of 297%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $1,441 | 258% |
| UnitedHealthcare | $1,891 - $2,542 | 339% |
| Medicaid / KanCare | $2,542 | 455% |
| Humana | $2,542 | 455% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Grisell Memorial Hospital in Ransom, KS, the facility's negotiated rates range from $1,441 to $2,542 depending on your specific insurance plan. While the median amount paid by insurers is $2,542, the cash price for self-pay patients is $2,415. It is important to note that commercial insurance rates often include administrative overhead and contract premiums, which can make them higher than the cash price even for in-network members. If you have a high-deductible plan or have not yet met your deductible, paying the cash price of $2,415 upfront could result in lower out-of-pocket costs compared to the negotiated rates your insurer might apply. Additionally, patients should verify if the hospital offers "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full within a short window, effectively bypassing the standard insurance billing cycle.
When evaluating this cost, it is helpful to compare it against the Medicare benchmark, which serves as a scientifically validated baseline for the true cost of care. The Medicare amount for this procedure is $558.25, and the facility's cash price is approximately 4.4 times higher than this federal rate. While commercial negotiated rates are typically 200% to 300% of Medicare, the cash price here remains significantly elevated compared to the government benchmark. To ensure you are receiving a fair price, we recommend requesting a full itemized bill to review every code and charge, as over 80% of hospital bills contain errors such as double-billing or unbundled services.