CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mercy Hospital St Louis

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $2,577
  • Cash Discount Price: $3,895
  • vs. Medicare Baseline: 4.62x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mercy Hospital St Louis is $2,577. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,895. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.62x the Medicare baseline. Located in 615 New Ballas Road, Saint Louis, MO.
Cash / Self-Pay
$3,895

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,577

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: $3,895 (698%)
Insurance Median: $2,577 (462%)
Cash: $3,895 (698% of Medicare)
Ins. Median: $2,577 (462% 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 462% of the Medicare baseline (a markup of 362%). 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
Aetna $389 - $2,097 70%
Medicaid / KanCare $389 - $1,618 70%
American Health Advantage Of Mo Mcr [10473] $509 91%
Blue Cross Blue Shield $509 - $5,393 91%
Cherokee Nation Health Serv Contracted [320066] $509 91%
Cross Timbers Hospice [20098] $509 91%
Dept Of Veteran Affairs Contracted [320106] $509 91%
Elara Caring Aspire Hospice Contracted [320433] $509 91%
Elara Caring Aspire Hospice [20433] $509 91%
Globalhealth Contracted [320145] $509 91%
Halo Hcr Inc Hospice Contracted [320432] $509 91%
Halo Hcr Inc Hospice [20432] $509 91%
Humana $509 91%
Kindful Hospice Contracted [320434] $509 91%
Kindful Hospice [20434] $509 91%
Medicare (plans) $509 - $5,992 91%
Mercy Hospice Okc [20252] $509 91%
Pace Of The Ozarks Contracted [320518] $509 91%
Qual Choice Contracted [320325] $509 91%
Tricare $509 91%
UnitedHealthcare $509 - $810 91%
Hope Trust Contracted [320488] $519 93%
Cigna $520 - $2,696 93%
Provider Partners Health Plans Contracted [320450] $561 100%
Healthscope Contracted [320182] $649 116%
United Medical Resources Contracted [320454] $810 145%
Centivo Contracted [320505] $857 154%
Preferred Health Plan Contracted [320522] $909 163%
Medica Contracted [320239] $1,564 280%
Ambetter / Centene $1,618 290%
Home State Health Plan Contracted [320187] $1,618 290%
Novasys Contracted [320285] $1,618 290%
Aither Health Contracted [320449] $2,577 462%
Aither Health [20449] $2,577 462%
Auxiant Contracted [320462] $2,577 462%
Ebms Contracted [320493] $2,577 462%
Edison Health Solutions Contracted [320502] $2,577 462%
Healthlink Contracted [320179] $2,577 - $4,075 462%
Imagine 360 Contracted [320494] $2,577 462%
Mercy Benefit Admin Contracted [320251] $2,577 - $2,696 462%
Mercy Benefit Admin [20251] $2,577 - $2,696 462%
Reflect Health Contracted [320492] $2,577 462%
Show-Me Health Administrators Contracted [320483] $2,577 462%
Yuzu Health Contracted [320521] $2,577 462%
Health Choices Contracted [320448] $3,595 644%
Health Choices [20448] $3,595 644%
Medical Associates Health Contracted [320444] $3,595 644%
Federal Medical Center Contracted [320127] $3,895 698%
Insurance System Inc Contracted [320465] $3,895 698%
Point C Contracted [320238] $3,895 698%
Tri State Healthcare Coalition Contracted [320379] $3,895 698%
First Health Contracted [320128] $4,194 - $4,254 751%
Mercy Mgd Behavioral Health Contracted [320259] $4,194 751%
Multiplan Contracted [320270] $4,194 - $4,494 751%
Private Health Care Systems Contracted [320320] $4,194 751%
Workers Comp [20426] $4,494 - $4,794 805%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 615 New Ballas Road, Saint Louis, MO 63141
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals