Echocardiogram (heart ultrasound)
Facility: Lane County Hospital
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $2,248
- Cash Discount Price: $2,248
- vs. Medicare Baseline: 4.03x 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 403% of the Medicare baseline (a markup of 303%). 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 |
|---|---|---|
| UnitedHealthcare | $2,023 - $2,248 | 362% |
| Aetna | $2,023 - $2,136 | 362% |
| Healthy Blue Mcaid | $2,248 | 403% |
| Healthy Blue Mcr Adv - All Other Plans | $2,248 | 403% |
| Medicaid / KanCare | $2,248 - $2,473 | 403% |
| Wppa Providers-All Plans | $3,372 | 604% |
Consumer Guidance & Cost Commentary
For the Echocardiogram (heart ultrasound) at Lane County Hospital in Dighton, KS, the negotiated rates across six payers range from $2,023 to $2,473, with a median paid amount of $2,248. This figure aligns closely with the facility's cash price of $2,248 and the median negotiated rate of $2,248, indicating that for most patients, paying out-of-pocket or through insurance yields a similar cost. The facility's pricing is 400% higher than the Medicare benchmark of $558.25, which serves as the objective baseline for evaluating hospital markups. While the facility is a Critical Access Hospital owned by a Government Hospital District, the data does not provide a specific county or state average for comparison, so patients should verify if this rate is competitive within their local region.
Patients should be aware that while in-network insurance contracts set a ceiling on what commercial payers will reimburse, the actual amount you owe depends on your specific plan's deductible and copay structure. If your insurance has not yet met your deductible, you may be responsible for the full negotiated rate of up to $2,473, even though the cash price is lower. To potentially reduce costs, you should ask the hospital about "self-pay" or "prompt-pay" discounts, which can offer a fee reduction of 20% to 50% for upfront payment. Additionally, since over 80% of hospital bills contain errors, it is advisable to request a detailed, itemized bill before making any payments to ensure no charges are double-billed or unbundled.