CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Essentia Health Virginia

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $1,537
  • Cash Discount Price: $1,408
  • vs. Medicare Baseline: 2.75x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Essentia Health Virginia is $1,537. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,408. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.75x the Medicare baseline. Located in 901 9Th Street North, Virginia, MN.
Cash / Self-Pay
$1,408

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,537

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: $1,408 (252%)
Insurance Median: $1,537 (275%)
Cash: $1,408 (252% of Medicare)
Ins. Median: $1,537 (275% 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 275% of the Medicare baseline (a markup of 175%). 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
Medica Access $505 - $526 90%
Primewest $532 95%
Advocare/Security Health $538 96%
Blue Cross Blue Shield $538 - $1,961 96%
Freedom Blue Ppo $538 96%
Healthpartners Care Msho / Mcr Adv $538 96%
Imcare Msho Pcc Prime $538 96%
Imcare Msho Ref Req $538 96%
Medica Advantage Solutions $538 96%
Medica Msho/Dual Solutions $538 96%
Medica Prime Solution Group $538 96%
Medicare (plans) $538 96%
Nd Va Administration $538 96%
Platinum Blue/Vantage Blue $538 96%
Primewest Msho $538 96%
Secure Blue Msho $538 96%
Ubh Cost Plan $538 96%
Ubh Msho $538 96%
Ucare Msho $538 96%
UnitedHealthcare $538 - $2,014 96%
Itasca Med Care $548 98%
Healthpartners Care Pmap $874 - $911 157%
Sanford Healthplan $941 - $1,033 169%
Blue Plus Pmap Pcc Prime $1,031 - $1,537 185%
Medica $1,398 - $1,621 250%
Medica Uplan $1,398 - $1,458 250%
Ucare $1,444 - $1,506 259%
Healthpartners $1,567 - $2,069 281%
Wea $1,580 - $1,763 283%
Medica Choice $1,600 - $1,669 287%
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%
Cigna $1,978 - $2,069 354%
Healthpartners Pcc Prime $1,978 - $2,069 354%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 9Th Street North, Virginia, MN 55792
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals