Echocardiogram (heart ultrasound)
Facility: Scott County Hospital
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $1,782
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.19x 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 319% of the Medicare baseline (a markup of 219%). 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 | $178 - $3,218 | 32% |
| Wppa | $1,200 - $2,032 | 215% |
| Humana | $1,423 | 255% |
| Blue Cross Blue Shield | $1,532 | 274% |
| Aetna | $3,048 | 546% |
Consumer Guidance & Cost Commentary
For this Echocardiogram (heart ultrasound) at Scott County Hospital in Scott City, KS, the facility's negotiated rates range from $1,200 to $3,218 depending on your specific insurance plan, with a median negotiated amount of $1,782. These rates are significantly higher than the state average, which is approximately 3.2 times the Medicare benchmark of $558.25. While commercial insurance contracts often cap charges to protect members, these negotiated fees can exceed what a patient might pay out-of-pocket. If you have a high-deductible plan or no insurance, paying the cash price directly may result in lower out-of-pocket costs, as the cash rate is not listed in the data but is typically lower than the insurer's allowed amount.
To minimize unexpected costs, patients should proactively request "self-pay" or "prompt-pay" discounts from the hospital before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. Additionally, if you are billed for services from out-of-network providers at this in-network facility, the No Surprises Act generally protects you from balance billing for emergency care and non-emergency services. If you receive a bill that seems incorrect, do not accept a summary invoice; instead, request a full itemized audit to identify unbundled codes or services not rendered, ensuring you are only paying for what was actually provided.