CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mercy Hospital Jefferson

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,253
Cash Discount Price: $3,756
vs. Medicare Baseline: 4.04x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mercy Hospital Jefferson is $2,253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,756. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.04x the Medicare baseline. Located in 1400 Us Highway 61, Crystal City, MO.

Cash / Self-Pay

$3,756

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,253

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: $3,756 (673%)

Insurance Median: $2,253 (404%)

Cash: $3,756 (673% of Medicare)

Ins. Median: $2,253 (404% 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 404% of the Medicare baseline (a markup of 304%). 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
Medicaid / KanCare	$376 - $1,560	67%
Aetna	$509 - $2,022	91%
American Health Advantage Of Mo Mcr [10473]	$509	91%
Blue Cross Blue Shield	$509 - $5,200	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 - $5,778	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 - $2,600	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]	$1,508	270%
Ambetter / Centene	$1,560	279%
Home State Health Plan Contracted [320187]	$1,560	279%
Novasys Contracted [320285]	$1,560	279%
Aither Health Contracted [320449]	$2,253	404%
Aither Health [20449]	$2,253	404%
Auxiant Contracted [320462]	$2,253	404%
Ebms Contracted [320493]	$2,253	404%
Edison Health Solutions Contracted [320502]	$2,253	404%
Healthlink Contracted [320179]	$2,253 - $4,160	404%
Imagine 360 Contracted [320494]	$2,253	404%
Mercy Benefit Admin Contracted [320251]	$2,253 - $2,889	404%
Mercy Benefit Admin [20251]	$2,253 - $2,889	404%
Reflect Health Contracted [320492]	$2,253	404%
Show-Me Health Administrators Contracted [320483]	$2,253	404%
Yuzu Health Contracted [320521]	$2,253	404%
Health Choices Contracted [320448]	$3,467	621%
Health Choices [20448]	$3,467	621%
Medical Associates Health Contracted [320444]	$3,467	621%
Federal Medical Center Contracted [320127]	$3,756	673%
Insurance System Inc Contracted [320465]	$3,756	673%
Point C Contracted [320238]	$3,756	673%
Tri State Healthcare Coalition Contracted [320379]	$3,756	673%
First Health Contracted [320128]	$4,045 - $4,102	725%
Mercy Mgd Behavioral Health Contracted [320259]	$4,045	725%
Multiplan Contracted [320270]	$4,045 - $4,334	725%
Private Health Care Systems Contracted [320320]	$4,045	725%
Workers Comp [20426]	$4,334 - $4,622	776%

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 $3,756.
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 Jefferson 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.