CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Maple Grove Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $925
Cash Discount Price: $784
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Maple Grove Hospital is $925. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $784. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.66x the Medicare baseline. Located in 9875 Hospital Drive, Maple Grove, MN.

Cash / Self-Pay

$784

Average discount available for prompt cash payment at this facility.

Insurance Median

$925

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: $784 (140%)

Insurance Median: $925 (166%)

Cash: $784 (140% of Medicare)

Ins. Median: $925 (166% 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 [1061]	$371 - $1,018	66%
Blue Cross Blue Shield	$425 - $977	76%
Medicaid / KanCare	$470	84%
Humana	$555	99%
Medicare (plans)	$555	99%
Ucare [1148]	$555 - $1,014	99%
Medica [1086]	$560 - $1,569	100%
UnitedHealthcare	$577 - $1,353	103%
Aetna	$603 - $1,115	108%
America'S Ppo [1010]	$1,006 - $1,071	180%
Cigna	$1,018	182%
Phcs [1172]	$1,115	200%
Multiplan [1176]	$1,190	213%

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 $784.
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 Maple Grove 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.