Echocardiogram (heart ultrasound)
Facility: Great Plains Of Sabetha
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $1,999
- Cash Discount Price: $2,143
- vs. Medicare Baseline: 3.58x 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 358% of the Medicare baseline (a markup of 258%). 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 |
|---|---|---|
| Celtic Mcr Adv | $1,039 - $1,190 | 186% |
| Aetna | $1,050 - $2,311 | 188% |
| Celtic Comm Exchange-All Other Plans | $1,299 - $1,487 | 233% |
| Great West Healthcare-All Plans | $1,699 - $1,945 | 304% |
| UnitedHealthcare | $1,859 - $2,288 | 333% |
| Humana | $1,899 - $2,174 | 340% |
| Century/Wppa/Providers-All Plans | $1,899 - $2,174 | 340% |
| Multiplan-Phcs-All Plans | $1,899 - $2,174 | 340% |
| Cigna | $1,899 - $2,174 | 340% |
| Federated Mutual Ins-All Plans | $1,919 - $2,196 | 344% |
| Medicaid / KanCare | $1,999 - $2,288 | 358% |
| Blue Cross Blue Shield | $1,999 - $2,288 | 358% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Great Plains Of Sabetha in Sabetha, KS, the cash price is $2,143.00, which matches the facility's cash median. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the negotiated rates for in-network payers range from $1,039 to $2,288, with a median negotiated amount of $1,999.00. It is important to note that for patients with high-deductible plans, paying the cash price of $2,143.00 upfront can sometimes be more cost-effective than using insurance, as the insurance negotiated rate often exceeds the cash price due to administrative overhead and contract dynamics. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing costly claims processing.
When evaluating the cost relative to federal standards, the Medicare amount for this service is $558.25. The facility's cash price represents a 3.6x markup compared to the Medicare rate, which is a common pricing structure in the healthcare industry where commercial rates often average 200% to 300% of Medicare. If you receive a bill that includes balance billing for out-of-network services, such as emergency physicians or lab tests, you may have protections under the No Surprises Act, which bans balance billing for non-emergency services at in-network facilities. To ensure you are not overcharged, request a full itemized CPT-coded bill rather than accepting a summary invoice, and dispute any errors in writing to