Echocardiogram (heart ultrasound)
Facility: Wamego Health Center
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $132
- Cash Discount Price: $1,343
- vs. Medicare Baseline: 0.24x 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.
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 | $51 - $292 | 9% |
| Medicaid / KanCare | $53 - $303 | 9% |
| Aetna | $53 - $303 | 9% |
| Providrs Care | $85 - $241 | 15% |
| Tricare | $390 | 70% |
| Blue Cross Blue Shield | $2,012 - $2,118 | 360% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Wamego Health Center in Wamego, KS, the cash price is $1,343, which is significantly lower than the facility's gross charge of $3,357. While insurance plans like Medicaid/KanCare and Aetna have negotiated rates ranging from $53 to $303, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying cash directly. The facility's cash rate is also notably higher than the state average for this service, so it is important to verify if your specific insurance plan negotiates a rate lower than the cash amount before scheduling.
To ensure you are not overcharged, always request a prompt-pay discount or self-pay rate before check-in, as paying upfront can reduce the bill by 20% to 50%. If you receive a bill from an out-of-network provider or unexpected ancillary services, you may be subject to balance billing, but the No Surprises Act protects you from surprise bills for emergency care and non-emergency services at in-network facilities. Finally, never accept a summary bill; always demand a full itemized statement to review every CPT code and unit cost, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.