CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $201
Cash Discount Price: $1,637
vs. Medicare Baseline: 0.36x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Munson Healthcare Otsego Memorial Hospital is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,637. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.36x the Medicare baseline. Located in 825 N Center Ave, Gaylord, MI.

Cash / Self-Pay

$1,637

Average discount available for prompt cash payment at this facility.

Insurance Median

$201

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: $1,637 (293%)

Insurance Median: $201 (36%)

Cash: $1,637 (293% of Medicare)

Ins. Median: $201 (36% 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
Mclaren Health Plan	$43 - $1,615	8%
Meridian	$43 - $285	8%
Molina	$43 - $588	8%
Priority Health	$43 - $580	8%
UnitedHealthcare	$43 - $1,543	8%
Blue Cross Blue Shield	$44 - $1,203	8%
Blue Care Network	$66 - $544	12%
Hap (Health Alliance Plan)	$66 - $1,541	12%
Humana	$66 - $544	12%
Medicare (plans)	$66 - $544	12%
Michigan Amish Medical Board	$66 - $544	12%
Northern Michigan Mennonite Group	$66 - $544	12%
Aetna	$67 - $1,560	12%
Cigna	$96 - $580	17%
Asr Physicians Care Network	$99 - $1,541	18%
Nomi Health	$106 - $1,541	19%
Employee Benefit Logistics	$112 - $926	20%
Munson Hospice	$852 - $1,348	153%
Hospice Of Michigan	$1,156	207%
Enterprise Group Planning/Employee Benefit Plan	$1,541	276%
Cofinity	$1,637	293%
Provider Network Of America/Hawaii Mainland Administrative Group Health	$1,637	293%
Three Rivers Provider Network	$1,637	293%

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 $1,637.
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 Munson Healthcare Otsego 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.