CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Essentia Health St Mary's Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $1,286
  • Cash Discount Price: $1,480
  • vs. Medicare Baseline: 2.30x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Essentia Health St Mary's Medical Center is $1,286. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,480. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.30x the Medicare baseline. Located in 402 East Second Street, Duluth, MN.
Cash / Self-Pay
$1,480

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,286

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: $1,480 (265%)
Insurance Median: $1,286 (230%)
Cash: $1,480 (265% of Medicare)
Ins. Median: $1,286 (230% 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 230% of the Medicare baseline (a markup of 130%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Primewest $532 95%
Itasca Med Care $548 98%
Advocare/Security Health $550 99%
Blue Cross Blue Shield $550 - $1,740 99%
Freedom Blue Ppo $550 99%
Healthpartners Care Msho / Mcr Adv $550 99%
Imcare Msho (Ref Req) $550 99%
Imcare Msho Pcc Prime $550 99%
Imcare Msho Ref Req $550 99%
Medica Advantage Solutions $550 99%
Medica Msho/Dual Solutions $550 99%
Medica Prime Solution Group $550 99%
Medicare (plans) $550 99%
Nd Va Administration $550 99%
Platinum Blue / Vantage Blue $550 99%
Primewest Msho $550 99%
Secure Blue Msho $550 99%
Ubh Cost Plan $550 99%
Ubh Msho $550 99%
Ucare Msho $550 99%
UnitedHealthcare $550 - $1,676 99%
Medica Access $727 - $758 130%
Healthpartners Care Pmap $874 - $911 157%
Sanford Health Plan $941 - $1,033 169%
Blue Plus Pmap Pcc Prime $969 - $1,144 174%
Medica $1,214 - $1,300 217%
Medica Uplan $1,214 - $1,266 217%
Healthpartners $1,315 - $1,637 236%
Medica Choice $1,341 - $1,399 240%
Ucare $1,444 - $1,506 259%
Cigna $1,569 - $1,637 281%
Healthpartners Pcc Prime $1,569 - $1,637 281%
Wea $1,580 - $1,763 283%
Security Health $1,690 - $1,763 303%
America'S Ppo $1,701 - $1,774 305%
Wps $1,822 - $1,923 326%
Aetna $1,866 - $1,946 334%
Healthscope Benefits $1,866 - $1,946 334%
Healtheos $1,888 - $1,969 338%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals