CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Promedica Monroe Regional Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $919
Cash Discount Price: $1,412
vs. Medicare Baseline: 1.65x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Promedica Monroe Regional Hospital is $919. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,412. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.65x the Medicare baseline. Located in 718 N Macomb St, Monroe, MI.

Cash / Self-Pay

$1,412

Average discount available for prompt cash payment at this facility.

Insurance Median

$919

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: $1,412 (253%)

Insurance Median: $919 (165%)

Cash: $1,412 (253% of Medicare)

Ins. Median: $919 (165% 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
Paramount Healthcare Inc	$177 - $1,651	32%
Aetna	$181 - $1,529	32%
Blue Cross Blue Shield	$181 - $1,220	32%
Health Alliance Plan	$181 - $1,781	32%
Priority Health	$181 - $1,195	32%
Humana	$187 - $558	33%
Amerihealth	$245	44%
Meridian	$299	54%
Molina Healthcare Of Michigan	$323	58%
UnitedHealthcare	$329 - $1,764	59%
Veterans Affairs	$551	99%
Frontpath	$1,260	226%
Encore Health Network	$1,520	272%
Health Ohio Network, Llc	$1,520	272%
Cofinity	$1,549	277%
Multiplan	$1,955	350%

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 $1,412.
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 Promedica Monroe Regional 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.