CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mercy Hospital Joplin

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,735
Cash Discount Price: $2,622
vs. Medicare Baseline: 3.11x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mercy Hospital Joplin is $1,735. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,622. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.11x the Medicare baseline. Located in 100 Mercy Way, Joplin, MO.

Cash / Self-Pay

$2,622

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,735

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: $2,622 (470%)

Insurance Median: $1,735 (311%)

Cash: $2,622 (470% of Medicare)

Ins. Median: $1,735 (311% 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 311% of the Medicare baseline (a markup of 211%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$103 - $2,941	18%
Indian Health Service Contracted [320198]	$103 - $2,622	18%
Aetna	$168 - $2,501	30%
Humana	$168 - $1,210	30%
Medicaid / KanCare	$168 - $1,130	30%
Champva [20065]	$488	87%
Cherokee Nation Health Serv Contracted [320066]	$488	87%
Cigna	$488 - $3,106	87%
Cross Timbers Hospice [20098]	$488	87%
Dept Of Veteran Affairs Contracted [320106]	$488	87%
Elara Caring Aspire Hospice [20433]	$488	87%
Globalhealth Contracted [320145]	$488	87%
Halo Hcr Inc Hospice Contracted [320432]	$488	87%
Halo Hcr Inc Hospice [20432]	$488	87%
Kindful Hospice Contracted [320434]	$488	87%
Kindful Hospice [20434]	$488	87%
Medicare (plans)	$488 - $513	87%
Mercy Hospice Okc [20252]	$488	87%
Mercy Mgd Behavioral Health Contracted [320259]	$488	87%
Pace Of The Ozarks Contracted [320518]	$488	87%
Provider Partners Health Plans Contracted [320450]	$488	87%
Qual Choice Contracted [320325]	$488	87%
Tricare	$488	87%
UnitedHealthcare	$488 - $1,654	87%
Centivo Contracted [320505]	$498	89%
Healthscope Contracted [320182]	$622	111%
Health Choice Contracted [320166]	$932	167%
Providrs Care Network Contracted [320484]	$1,014	182%
Ambetter / Centene	$1,130	202%
Home State Health Plan Contracted [320187]	$1,130	202%
Novasys Contracted [320285]	$1,130	202%
Point C Contracted [320238]	$1,412 - $3,227	253%
Medica Contracted [320239]	$1,468	263%
United Medical Resources Contracted [320454]	$1,654 - $2,662	296%
Benefit Management Contracted [320052]	$1,735	311%
Health Systems Inc Contracted [320174]	$1,735	311%
Insurance System Inc Contracted [320465]	$1,735	311%
Administrative Payor Contracted [320005]	$1,815	325%
Mercy Benefit Admin Contracted [320251]	$2,017 - $2,420	361%
Aither Health Contracted [320449]	$2,299	412%
Auxiant Contracted [320462]	$2,299 - $2,622	412%
Ebms Contracted [320493]	$2,299	412%
Edison Health Solutions Contracted [320502]	$2,299	412%
Healthlink Contracted [320179]	$2,299 - $3,227	412%
Imagine 360 Contracted [320494]	$2,299	412%
Reflect Health Contracted [320492]	$2,299	412%
Yuzu Health Contracted [320521]	$2,299	412%
90 Degree Benefits Contracted [320436]	$2,420	433%
Show-Me Health Administrators Contracted [320483]	$2,420	433%
Preferred Health Plan Contracted [320522]	$2,622	470%
First Health Contracted [320128]	$2,747	492%
American Healthcare Alliance Contracted [320020]	$2,824	506%
Multiplan Contracted [320270]	$3,106	556%
Private Health Care Systems Contracted [320320]	$3,106	556%
Usable Contracted [320409]	$3,106	556%
Point C [20238]	$3,227	578%
Workers Comp [20426]	$3,227 - $4,034	578%
Usa Managed Care Org Contracted [320429]	$3,550	636%
Ppo Plus Contracted [320310]	$3,631	650%

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 $2,622.
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 Mercy Hospital Joplin 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.