Echocardiogram (heart ultrasound)
Facility: Girard Medical Center
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $823
- Cash Discount Price: $1,410
- vs. Medicare Baseline: 1.47x 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 |
|---|---|---|
| Medicare (plans) | $822 | 147% |
| Humana | $822 | 147% |
| Aetna | $822 - $4,112 | 147% |
| UnitedHealthcare | $822 - $2,232 | 147% |
| Blue Cross Blue Shield | $822 - $1,532 | 147% |
| Ambetter / Centene | $822 | 147% |
| Kansas Superior Select-All Plans | $822 | 147% |
| Multiplan-All Plans | $2,174 | 389% |
| Uhhis-All Plans | $2,232 | 400% |
Consumer Guidance & Cost Commentary
For the Echocardiogram (heart ultrasound) at Girard Medical Center in Girard, KS, the cash median price is $1,410, while the facility's median negotiated rate across nine payers is $823. This service is provided by a Critical Access Hospital owned by the Government - Hospital District or Authority. While commercial insurance contracts generally cap costs at the negotiated rate, patients with high-deductible plans may find the cash price of $1,410 more favorable if their specific plan's negotiated rate exceeds this amount, though the current data shows the negotiated average is lower. It is important to note that cash-pay options can sometimes be cheaper for patients who have not yet met their deductible or whose insurance allows for higher reimbursement on this specific code than the facility's contract rate.
To ensure you are receiving the most accurate pricing, always request an itemized billing audit before finalizing payment, as summary bills often obscure individual charges and potential errors. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by offering immediate liquidity incentives. Additionally, while Medicare serves as a benchmark for fair pricing, commercial rates vary significantly by payer; for this procedure, rates range from $822 to $4,112 depending on the insurance plan, with Aetna showing the widest variance across its two plans. Always verify your specific plan's allowed amount before scheduling to avoid unexpected balance billing, especially if you are an out-of-network patient, though the No Surprises Act protects you from balance billing for emergency care and non-emergency services at in-network facilities.