Echocardiogram (heart ultrasound)
Facility: Osborne County Memorial Hospital
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $2,372
- Cash Discount Price: $2,228
- vs. Medicare Baseline: 4.25x 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 425% of the Medicare baseline (a markup of 325%). 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 |
|---|---|---|
| UnitedHealthcare | $1,992 | 357% |
| Health Partners Of Kansas | $2,254 | 404% |
| Wppa | $2,490 | 446% |
| Blue Cross Blue Shield | $2,569 | 460% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Osborne County Memorial Hospital in Osborne, KS, the cash price of $2,228 is notably lower than the facility's negotiated rates with major payers like UnitedHealthcare ($1,992) and Health Partners Of Kansas ($2,254). While the cash rate is lower than the gross charge of $2,621, it is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures. Patients with high-deductible plans or those who have not yet met their out-of-pocket maximum may find paying the cash price directly more cost-effective than relying on insurance, which could result in higher allowed amounts or balance billing if the provider is out-of-network.
The facility's pricing is benchmarked against Medicare, which sets the baseline reimbursement at $558.25. The cash price represents a significant markup over this federal rate, a common practice in the healthcare industry where commercial rates often range from 200% to 300% of Medicare amounts. To ensure you receive the best possible price, we recommend contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront. Additionally, if you have received a bill from this facility, you should request a detailed, itemized statement to verify that all charges are accurate and that no services were bundled incorrectly, as over 80% of hospital bills contain errors that can be corrected through a formal audit.