CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: M Health Fairview St John's Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $277
Cash Discount Price: $420
vs. Medicare Baseline: 0.50x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at M Health Fairview St John's Hospital is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $420. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.50x the Medicare baseline. Located in 1575 Beam Avenue, Maplewood, MN.

Cash / Self-Pay

$420

Average discount available for prompt cash payment at this facility.

Insurance Median

$277

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: $420 (75%)

Insurance Median: $277 (50%)

Cash: $420 (75% of Medicare)

Ins. Median: $277 (50% 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
Health Partners	$47 - $1,234	8%
Primewest	$47 - $533	8%
South Country Health Alliance	$47 - $533	8%
Ucare	$48 - $1,226	9%
Medica	$50 - $690	9%
Blue Cross Blue Shield	$54 - $670	10%
Itasca Medical Care	$54 - $533	10%
Sanford Health Plan	$64 - $977	11%
Security Health Plan	$64 - $1,244	11%
UnitedHealthcare	$64 - $533	11%
Wellcare	$64 - $533	11%
Hennepin Health	$72 - $557	13%
America'S Ppo	$201 - $1,195	36%
First Health	$217 - $1,361	39%
Multiplan	$225 - $1,410	40%
Private Healthcare Systems	$225 - $1,410	40%
Wisconsin Physician Services	$238 - $1,493	43%

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 $420.
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 M Health Fairview St John's 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.