CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Northeast Regional Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $1,187
  • Cash Discount Price: $1,214
  • vs. Medicare Baseline: 2.13x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Northeast Regional Medical Center is $1,187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,214. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.13x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$1,214

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,187

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: $1,214 (217%)
Insurance Median: $1,187 (213%)
Cash: $1,214 (217% of Medicare)
Ins. Median: $1,187 (213% 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 213% of the Medicare baseline (a markup of 113%). 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
Medicaid / KanCare $467 - $762 84%
Veterans Eval Services $471 84%
Node Champva $552 99%
Tricare $552 99%
Medicare (plans) $577 103%
Node Hospice Non Par Agree $586 105%
Node Va $586 105%
UnitedHealthcare $586 - $2,306 105%
Blue Cross Blue Shield $588 - $938 105%
Node Devoted Health Mcr Adv $606 109%
Blue Pathway/Pathway X $664 119%
Centurion Correctional $733 131%
Us Department Of Labor $733 131%
Self Pay $738 - $1,691 132%
Cigna $1,045 - $1,202 187%
Home State Exchange $1,055 189%
Naphcare $1,114 200%
Aetna $1,144 - $2,564 205%
Immergrun $1,172 210%
Blue Prefrerred $1,389 249%
Blue Access $1,431 256%
Access Health Services, Llc $1,999 358%
Healthlink $2,306 - $2,460 413%
Multiplan $2,306 - $2,460 413%
Coventry Wc $2,460 441%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals