Echocardiogram (heart ultrasound)
Facility: Morris County Hospital
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $1,670
- Cash Discount Price: $1,499
- vs. Medicare Baseline: 2.99x 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 299% of the Medicare baseline (a markup of 199%). 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 |
|---|---|---|
| Va Ccn-All Plans | $975 | 175% |
| UnitedHealthcare | $975 - $2,499 | 175% |
| Blue Cross Blue Shield | $975 - $1,532 | 175% |
| Coventry Mcr | $975 | 175% |
| Choice Care Mcr Adv-All Plans | $975 | 175% |
| Cigna | $1,808 | 324% |
| Aetna | $2,239 | 401% |
| Multiplan-All Plans | $2,249 | 403% |
| Coventry Comm-All Other Plans | $2,249 | 403% |
| Providrs Care (Wppa)(Nexus)-All Plans | $3,748 | 671% |
Consumer Guidance & Cost Commentary
For this echocardiogram procedure at Morris County Hospital in Council Grove, Kansas, the facility's cash price of $1,499 is significantly lower than the gross charge of $2,499, offering a potential savings of $1,000 for self-pay patients. While the hospital's negotiated rates with major payers like UnitedHealthcare and Blue Cross Blue Shield range from $975 to $1,532, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket and seeking prompt-pay discounts. It is important to note that the facility is a Critical Access Hospital with government-local ownership, and while the median negotiated rate across all payers is $1,670, the cash rate remains the most transparent baseline for comparison.
When evaluating costs, it is crucial to understand that commercial rates can sometimes be inflated by administrative overhead and contract dynamics, whereas the Medicare benchmark of $558.25 represents a scientifically validated cost baseline. Although the data does not provide specific county or state averages for this procedure, patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act. To ensure you receive the most accurate pricing, always request a full itemized bill before payment and verify your deductible status, as paying the cash rate upfront may bypass the higher administrative costs associated with insurance claims processing.