Echocardiogram (heart ultrasound)
Facility: Kiowa County Memorial Hospital
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $1,995
- Cash Discount Price: $1,906
- vs. Medicare Baseline: 3.57x 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 357% of the Medicare baseline (a markup of 257%). 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 | $1,532 - $1,995 | 274% |
| UnitedHealthcare | $1,796 - $2,242 | 322% |
| Health Partners Of Ks-All Plans | $1,973 | 353% |
| Aetna | $1,995 | 357% |
| Celtic Comml Exchange-All Other Plans | $1,995 | 357% |
| Humana | $1,995 | 357% |
| Medica Prime Mcare Cost-All Plans | $1,995 | 357% |
| Medicaid / KanCare | $2,242 | 402% |
| Providrs Care/Wppa-All Plans | $3,363 | 602% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Kiowa County Memorial Hospital in Greensburg, KS, the facility's cash price of $1,906 is lower than the median negotiated rate of $1,995 paid by most insurers, including Blue Cross Blue Shield and UnitedHealthcare. While the hospital is a Critical Access Hospital with government local ownership, patients should be aware that commercial insurance contracts often include administrative overhead that inflates the allowed amount above the cash price. If you have a high-deductible plan, paying the cash price directly might result in lower out-of-pocket costs compared to your insurance paying the negotiated rate and you covering the deductible. Additionally, the facility offers a prompt-pay discount for upfront payments, which can further reduce the final bill if you contact the billing department before scheduling.
The Medicare benchmark for this service is $558.25, which serves as a cost-based baseline rather than a target for commercial pricing. Although the data does not provide specific Kansas or county average rates for comparison, the facility's cash rate of $1,906 is significantly higher than the Medicare amount, reflecting the typical markup found in commercial healthcare. To avoid unexpected costs, patients should request an itemized bill to verify that no services were unbundled or double-charged, as over 80% of hospital bills contain errors. If you receive a balance bill from an out-of-network provider, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Always confirm your specific plan's deductible status and ask the hospital to classify your visit as self-pay to ensure you receive the correct cash or prompt-pay