Echocardiogram (heart ultrasound)
Facility: William Newton Hospital
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $953
- Cash Discount Price: $2,030
- vs. Medicare Baseline: 1.71x 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 |
|---|---|---|
| Triwest- All Plans | $62 - $924 | 11% |
| UnitedHealthcare | $65 - $2,382 | 12% |
| Blue Cross Blue Shield | $65 - $1,456 | 12% |
| Ambetter / Centene | $75 - $2,647 | 13% |
| Providrs Care Nexus | $1,242 - $1,620 | 222% |
| Providrs Care - All Other Plans | $1,421 - $1,853 | 255% |
Consumer Guidance & Cost Commentary
For an Echocardiogram (heart ultrasound) at William Newton Hospital in Winfield, KS, the cash price is $2,030, which matches the facility's median negotiated rate of $953. While the hospital is a Critical Access Hospital with a government-local ownership structure, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. In this specific case, the cash price is identical to the negotiated amount, meaning patients with high-deductible plans or those who have met their deductible may find paying out-of-pocket directly to the hospital offers the same financial outcome as using insurance, avoiding potential balance billing or unexpected fees.
The facility's pricing is significantly higher than the Medicare benchmark, which stands at $558.25 for this procedure, indicating a markup of 1.7 times the federal rate. This aligns with the typical range where commercial rates can be 200% to 300% of Medicare, though fair pricing is often defined as 120% to 150% of the Medicare amount. Before scheduling, it is crucial to verify your specific plan's allowed amount and check for "self-pay" or "prompt-pay" discounts, as hospitals frequently offer fee reductions of 20% to 50% for upfront payments that bypass costly claims processing. Additionally, since over 80% of hospital bills contain errors, patients should request a detailed, itemized statement to ensure no unbundled codes or services not rendered are included in the final charge.