Echocardiogram (heart ultrasound)
Facility: Logan County Hospital
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $2,262
- Cash Discount Price: $788
- vs. Medicare Baseline: 4.05x 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 405% of the Medicare baseline (a markup of 305%). 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 |
|---|---|---|
| Humana | $1,336 | 239% |
| Blue Cross Blue Shield | $1,532 | 274% |
| Health Partners - All Plans | $2,992 | 536% |
| Medicaid / KanCare | $3,150 | 564% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Logan County Hospital in Oakley, KS, the negotiated rates for in-network payers like Humana and Blue Cross Blue Shield range from $1,336 to $2,992, while the cash price is significantly lower at $788. This cash rate is notably lower than the facility's median negotiated amount of $2,262 and the state average for this procedure. If you have a high-deductible plan or have already met your deductible, paying the cash price upfront could save you money compared to the insurance negotiated rate, provided you secure a "prompt-pay" discount. Hospitals often offer a fee reduction of 20% to 50% for patients who pay in full within 30 days, effectively bypassing the administrative costs and collection fees associated with insurance billing cycles. To ensure you receive this discount, you must request self-pay classification and a prompt-pay rate before check-in and sign a waiver preventing the hospital from submitting an insurance claim.
The Medicare benchmark for this service is $558.25, which serves as a baseline for evaluating the facility's pricing markup. While the facility's cash rate of $788 exceeds the Medicare amount, it remains substantially below the gross charge of $3,150 and the median paid by insurers at $2,164. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though unexpected charges can still occur if ancillary services like labs are billed out-of-network. To protect yourself from errors or double-charging, always request a full itemized bill listing