CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Sparrow Ionia Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $309
Cash Discount Price: $187
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Sparrow Ionia Hospital is $309. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.55x the Medicare baseline. Located in 3565 S State Road, Ionia, MI.

Cash / Self-Pay

$187

Average discount available for prompt cash payment at this facility.

Insurance Median

$309

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: $187 (33%)

Insurance Median: $309 (55%)

Cash: $187 (33% of Medicare)

Ins. Median: $309 (55% 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	$43 - $614	8%
Medicare (plans)	$64 - $191	11%
Blue Cross Blue Shield	$108 - $558	19%
Aetna	$180 - $586	32%
Covenant Advantage	$180	32%
Medigold	$180	32%
Senior Community Care	$180	32%
Humana	$189 - $582	34%
Priority	$441	79%
UnitedHealthcare	$551	99%
Priority Health Medihmo	$558	100%
Cigna	$569	102%
Great West Healthcare	$569	102%
Asr	$575	103%
Blue Care Network	$575	103%
Health Alliance Plan	$575	103%
Cofinity	$582	104%
Mclaren Commercial	$641	115%

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 $187.
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 Sparrow Ionia 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.