CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $537
Cash Discount Price: $2,124
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Ascension Providence Hospital, Southfield and Novi is $537. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,124. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.96x the Medicare baseline. Located in 16001 W Nine Mile Rd, Southfield, MI.

Cash / Self-Pay

$2,124

Average discount available for prompt cash payment at this facility.

Insurance Median

$537

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: $2,124 (380%)

Insurance Median: $537 (96%)

Cash: $2,124 (380% of Medicare)

Ins. Median: $537 (96% 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
Hap Alliance Health	$164	29%
Hap Hmo Pos	$164	29%
Hap Preferred	$193	35%
Medicaid / KanCare	$219 - $537	39%
Molina Health	$219 - $312	39%
Aetna	$253 - $537	45%
Blue Caid Michigan	$312	56%
Harbor Health Mcd	$312	56%
Total Health Care	$312	56%
UnitedHealthcare	$312	56%
Amerihealth Vip Care Mcr	$462 - $532	83%
Auto Insurance	$537	96%
Jvhl - Mcr Replacement	$537	96%
Mcr Replacement	$537	96%
Veterans Choice	$537	96%
Humana	$543	97%
Meridian Wellcare	$564	101%
Molina Advantage	$564	101%
Ambetter / Centene	$672	120%
Molina Marketplace	$672	120%
Smart Health	$741	133%
Bc Metro Detroit Epo	$935 - $3,655	167%
Bc Metro Detroit Hmo	$935 - $3,655	167%
Bcn Local Network Southeast	$935 - $3,655	167%
Blue Care Network	$935 - $3,655	167%
Blue Cross Blue Shield	$935 - $3,655	167%

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 $2,124.
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 Ascension Providence Hospital, Southfield and Novi 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.