CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Helen Newberry Joy Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $742
Cash Discount Price: $964
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Helen Newberry Joy Hospital is $742. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $964. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.33x the Medicare baseline. Located in 502 W Harrie St, Newberry, MI.

Cash / Self-Pay

$964

Average discount available for prompt cash payment at this facility.

Insurance Median

$742

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: $964 (173%)

Insurance Median: $742 (133%)

Cash: $964 (173% of Medicare)

Ins. Median: $742 (133% 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
Mi Wc - All Plans	$45 - $1,880	8%
Va - All Plans	$66 - $1,204	12%
Aetna	$76 - $2,790	14%
Blue Cross Blue Shield	$76 - $2,900	14%
Humana	$76 - $1,175	14%
Mi Health Link - All Plans	$76 - $1,175	14%
Uphg Tpa - All Plans	$111 - $2,643	20%
Cigna	$120 - $2,849	21%
Health Alliance - All Plans	$120 - $2,849	21%
Vital Core - All Plans	$120 - $2,849	21%
First Health - All Plans	$124 - $2,790	22%
Healtheos - All Plans	$124 - $2,849	22%
Ppom/Cofinity - All Plans	$124 - $2,790	22%
Priority Health - All Plans	$124 - $2,849	22%
UnitedHealthcare	$124 - $2,849	22%
Uphp Mcaid - All Plans	$124 - $1,380	22%

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 $964.
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 Helen Newberry Joy 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.