Echocardiogram (heart ultrasound)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $1,807
- Cash Discount Price: $2,257
- vs. Medicare Baseline: 3.24x 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 324% of the Medicare baseline (a markup of 224%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $601 - $602 | 108% |
| UnitedHealthcare | $726 - $2,510 | 130% |
| Berkley Net-All Plans | $1,002 - $1,004 | 179% |
| Aetna | $1,102 - $1,707 | 197% |
| Trustmark Health Benefits-All Plans | $1,102 - $1,104 | 197% |
| Meritain Health-All Plans | $1,127 - $1,130 | 202% |
| Ambetter / Centene | $1,202 - $1,205 | 215% |
| Axa Equitable - All Plans | $1,378 - $1,380 | 247% |
| Pinnacol-All Plans | $1,403 - $1,406 | 251% |
| Medi-Share-All Plans | $1,428 - $1,431 | 256% |
| Presbyterian-All Plans | $1,528 - $1,531 | 274% |
| Kasb Work Comp - All Plans | $1,603 - $1,606 | 287% |
| The Kempton Group Admin-All Plans | $1,728 - $1,732 | 310% |
| Gpha(Wppa)-All Other Plans | $1,754 - $1,757 | 314% |
| Auxiant - All Plans | $1,754 - $1,757 | 314% |
| Wppa- All Plans | $1,779 - $1,782 | 319% |
| Providers Care Network- All Plans | $1,804 - $1,807 | 323% |
| Sisco-All Plans | $1,804 - $1,807 | 323% |
| Emc-All Plans | $1,804 - $1,807 | 323% |
| Gpha Employee Benefit Plan | $1,829 - $1,832 | 328% |
| Regional Care(Wppa)-All Plans | $1,879 - $1,882 | 337% |
| Employee Benefit-All Plans | $1,879 - $1,882 | 337% |
| Triangle-All Plans | $1,904 - $1,908 | 341% |
| First Health -All Plans | $1,904 - $1,908 | 341% |
| One Call Physician-All Plans | $1,929 - $1,933 | 346% |
| Blue Cross Blue Shield | $1,979 - $1,983 | 355% |
| Christian Hospital Aid - All Plans | $2,004 - $2,008 | 359% |
| Tricare | $2,004 - $2,008 | 359% |
| Humana | $2,154 - $2,159 | 386% |
| Cigna | $2,204 - $2,209 | 395% |
| Luminare Health- All Plans | $2,204 - $2,209 | 395% |
| Deseret Mutual(Uhis)-All Plans | $2,254 - $2,259 | 404% |
| Coresource-All Plans | $2,254 - $2,259 | 404% |
| Vaccn-All Plans | $2,305 - $2,309 | 413% |
| Reserve National-All Plans | $2,380 - $2,384 | 426% |
| Wps Vapc-All Plans | $2,380 - $2,384 | 426% |
| Hma Llc-All Plans | $2,380 - $2,384 | 426% |
| Medicaid / KanCare | $2,505 - $2,510 | 449% |
Consumer Guidance & Cost Commentary
For the Echocardiogram (heart ultrasound) service at Satanta District Hospital, the cash price of $2,257 is lower than the median negotiated rate of $1,807 paid by most insurance plans, including UnitedHealthcare and Aetna. This suggests that patients with high-deductible plans or those without insurance might save money by paying cash directly, as the facility's cash rate is competitive and often lower than what insurers are contractually allowed to pay. However, patients should verify if their specific plan has a lower allowed amount before scheduling, as some commercial payers may negotiate rates below the cash price. Additionally, patients should ask about "self-pay" or "prompt-pay" discounts at the time of registration, as these upfront fee reductions can further lower the final cost by bypassing administrative billing cycles.
The facility's pricing is benchmarked against Medicare, which sets a baseline reimbursement of $558.25 for this procedure. The cash price of $2,257 represents a significant markup over the Medicare rate, which is typical for commercial services where negotiated rates often range from 200% to 300% of the Medicare amount. While the facility is a Critical Access Hospital in Kansas, the data does not provide specific county or state average comparisons for this exact CPT code, so patients should rely on the Medicare benchmark and their own insurance allowed amounts to evaluate the value. If a patient receives a bill higher than the cash price or the insurer's allowed amount, they should request an itemized audit to identify any errors, double-billing, or unbundled charges, as over 80% of hospital bills contain mistakes that can be corrected through formal written