Echocardiogram (heart ultrasound)
Facility: Trego County Lemke Memorial Hospital
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $2,095
- Cash Discount Price: $2,423
- vs. Medicare Baseline: 3.75x 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 375% of the Medicare baseline (a markup of 275%). 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 | $1,396 | 250% |
| Tricare | $1,508 | 270% |
| Medicaid / KanCare | $1,767 - $2,850 | 317% |
| Aetna | $1,767 - $2,565 | 317% |
| Va Ccn - All Plans | $1,767 | 317% |
| UnitedHealthcare | $1,767 - $2,850 | 317% |
| Ambetter / Centene | $1,944 | 348% |
| Blue Cross Blue Shield | $2,095 | 375% |
| Health Partners - All Plans | $2,708 | 485% |
| Healthy Blue Mcaid - All Plans | $2,850 | 511% |
Consumer Guidance & Cost Commentary
For the Echocardiogram (heart ultrasound) at Trego County Lemke Memorial Hospital in Wakeeney, KS, the facility's cash price of $2,423 is notably higher than the state average, which sits at $1,767. While commercial insurance plans like Humana and Tricare negotiate a fixed rate of $1,396 and $1,508 respectively, other payers such as Medicaid/KanCare and UnitedHealthcare show a wide range, with negotiated amounts spanning from $1,767 up to the full gross charge of $2,850. Because the cash price is higher than the state median, patients with high-deductible plans might find it beneficial to pay out-of-pocket directly, provided they can secure a "self-pay" or "prompt-pay" discount from the hospital before scheduling, which could reduce the final cost below the standard cash rate.
It is important to distinguish between the facility's gross charge of $2,850 and the actual amounts paid by insurers, which average around $2,095 across the ten participating payers. The Medicare benchmark for this service is $558.25, serving as a baseline to evaluate pricing; commercial negotiated rates are often significantly higher than this federal rate due to administrative costs and contract structures. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, unexpected charges can still occur if ancillary services like labs or imaging are provided by out-of-network providers. To ensure accuracy, consumers should request a full itemized bill before paying, as summary invoices may obscure unbundled codes or services not rendered, and should