CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: University of Michigan Health - West

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,550
Cash Discount Price: $925
vs. Medicare Baseline: 2.78x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at University of Michigan Health - West is $1,550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $925. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.78x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.

Cash / Self-Pay

$925

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,550

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: $925 (166%)

Insurance Median: $1,550 (278%)

Cash: $925 (166% of Medicare)

Ins. Median: $1,550 (278% 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 278% of the Medicare baseline (a markup of 178%). 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
Medicaid / KanCare	$299 - $545	54%
Molina Healthcare Of Mi	$299	54%
Priority Health	$370	66%
Care Resources	$502	90%
Humana	$558 - $1,735	100%
Insight Metro Care	$558	100%
Medicare (plans)	$558	100%
Molina Marketplace Commercial	$558	100%
Aetna	$810 - $1,550	145%
Web Tpa	$1,016	182%
Alliance Health & Life Ppo	$1,550	278%
Asr Physicians	$1,550	278%
Hap	$1,550	278%
Golden Rule Ins	$1,667	299%
Medica	$1,667	299%
Student Ins/Mega Life	$1,667	299%
UnitedHealthcare	$1,667	299%
Asr Cofinity	$1,931	346%
Cofinity Commercial	$1,931	346%
Cofinity Weyco	$1,931	346%
Core Source	$1,931	346%
Epoch Group	$1,931	346%
Health Partners	$1,931	346%
Hlthcomp Admin	$1,931	346%
Mid America	$1,931	346%

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 $925.
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 University of Michigan Health - West 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.