CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: McKenzie Health System

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $264
Cash Discount Price: $735
vs. Medicare Baseline: 0.47x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at McKenzie Health System is $264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $735. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.47x the Medicare baseline. Located in 120 N Delaware Street, Sandusky, MI.

Cash / Self-Pay

$735

Average discount available for prompt cash payment at this facility.

Insurance Median

$264

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: $735 (132%)

Insurance Median: $264 (47%)

Cash: $735 (132% of Medicare)

Ins. Median: $264 (47% 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
Medicaid / KanCare	$124	22%
Medicare (plans)	$175	31%
Hap	$206	37%
Aetna	$251	45%
Meritain	$251	45%
Priority_Health	$277	50%
Mclaren	$293	52%
Blue_Care_Network	$314	56%
Blue_Cross	$314	56%
United_Healthcare	$350	63%

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 $735.
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 McKenzie Health System 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.