CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Holland Community Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,174
Cash Discount Price: $1,218
vs. Medicare Baseline: 2.10x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Holland Community Hospital is $1,174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,218. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.10x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.

Cash / Self-Pay

$1,218

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,174

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: $1,218 (218%)

Insurance Median: $1,174 (210%)

Cash: $1,218 (218% of Medicare)

Ins. Median: $1,174 (210% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 210% of the Medicare baseline (a markup of 110%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Life Circles-All Plans	$517	93%
Health Alliance Mcr Adv	$544	97%
Ph Mcr Adv	$544	97%
Va Ccn - All Plans	$544	97%
Aetna	$561 - $1,624	100%
Longevity Health Plan-All Plans	$588	105%
Molina Mcaid - All Plans	$650	116%
Ph Mcaid	$650	116%
Cigna	$683	122%
Priority Health - All Other Plans	$756	135%
Blue Cross Blue Shield	$790	142%
Nomi Health - All Plans	$1,116	200%
Sisco Epi	$1,174	210%
Sisco-All Other Plans	$1,174	210%
Health Alliance Hmo	$1,234	221%
Asr - All Plans	$1,290	231%
Health Alliance Ahl - All Other Plans	$1,290	231%
Cofinity -All Plans	$1,421	255%
Multiplan - All Plans	$1,766	316%
Benefit Source Inc-All Plans	$1,827	327%
First Health-All Plans	$1,827	327%
Usa Managed Care-All Plans	$1,827	327%
Integrated Health Plans-All Plans	$1,928	345%
UnitedHealthcare	$2,030	364%

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 $1,218.
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 Holland Community 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.