CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Abrom Kaplan Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $933
Cash Discount Price: $801
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Abrom Kaplan Memorial Hospital is $933. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $801. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.67x the Medicare baseline. Located in 1310 West Seventh Street, Kaplan, LA.

Cash / Self-Pay

$801

Average discount available for prompt cash payment at this facility.

Insurance Median

$933

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$558.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $558.25 (100%)

Cash / Self-Pay: $801 (143%)

Insurance Median: $933 (167%)

Cash: $801 (143% of Medicare)

Ins. Median: $933 (167% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$208 - $1,385	37%
Verity Commercial And First Choice Network	$623	112%
Aetna	$801 - $1,385	143%
Blue Cross Blue Shield	$801 - $1,552	143%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$801	143%
Humana	$801 - $1,385	143%
Medicare (plans)	$801	143%
Ochsner Health Plan	$801	143%
Wellcare Of Louisiana	$801	143%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$825	148%
Tricare	$933	167%
Cigna	$1,247	223%
Zelis	$1,247	223%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$1,385	248%
Healthy Blue (Healthy Louisiana)	$1,385	248%
Louisiana Healthcare Connections (Healthy Louisiana)	$1,385	248%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $801.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93306.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Abrom Kaplan Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93306.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.