CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Claire Regional Medical Center

Billing Code: 93306 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$374

about 0.7× the $558 Medicare rate · typically $122–$762

modeled estimate · not a bill or quote

Medicare pays $558 Fair price $374 Cash price $735 Hospital's list price $980

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$60 - $1,349	11%
Aetnamajor	$87 - $220	16%
Humanamajor	$65 - $1,311	12%
CareSource	$65 - $736	12%
HealthLink	$69 - $1,298	12%
WellCare	$82 - $1,592	15%
+ 2 smaller / regional plans	$85 - $2,435

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 735), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93306.

Insurance Before you use insurance

Call your insurance company to confirm St Claire Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 93306.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Claire Regional Medical Center

Compare: Echocardiogram (heart ultrasound) at other KY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.