CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mercy Hospital Lebanon

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,053
Cash Discount Price: $2,646
vs. Medicare Baseline: 5.47x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mercy Hospital Lebanon is $3,053. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,646. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.47x the Medicare baseline. Located in 100 Hospital Drive, Lebanon, MO.

Cash / Self-Pay

$2,646

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,053

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: $2,646 (474%)

Insurance Median: $3,053 (547%)

Cash: $2,646 (474% of Medicare)

Ins. Median: $3,053 (547% 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 547% of the Medicare baseline (a markup of 447%). 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	$168 - $1,221	30%
Medicare (plans)	$502 - $532	90%
Aetna	$522 - $3,052	94%
Blue Cross Blue Shield	$522 - $3,521	94%
Champva [20065]	$522	94%
Cherokee Nation Health Serv Contracted [320066]	$522	94%
Cigna	$522 - $3,012	94%
Cross Timbers Hospice [20098]	$522	94%
Dept Of Veteran Affairs Contracted [320106]	$522	94%
Elara Caring Aspire Hospice [20433]	$522	94%
Globalhealth Contracted [320145]	$522	94%
Halo Hcr Inc Hospice Contracted [320432]	$522	94%
Halo Hcr Inc Hospice [20432]	$522	94%
Humana	$522 - $3,460	94%
Kindful Hospice Contracted [320434]	$522	94%
Kindful Hospice [20434]	$522	94%
Mercy Hospice Okc [20252]	$522	94%
Mercy Mgd Behavioral Health Contracted [320259]	$522	94%
Pace Of The Ozarks Contracted [320518]	$522	94%
Provider Partners Health Plans Contracted [320450]	$522	94%
Qual Choice Contracted [320325]	$522	94%
Tricare	$522	94%
UnitedHealthcare	$522 - $3,866	94%
Healthscope Contracted [320182]	$665	119%
Centivo Contracted [320505]	$878	157%
Ambetter / Centene	$1,221	219%
Home State Health Plan Contracted [320187]	$1,221	219%
Novasys Contracted [320285]	$1,221	219%
Medica Contracted [320239]	$1,608	288%
Medica [20239]	$1,608	288%
Administrative Payor Contracted [320005]	$1,832	328%
Healthlink Contracted [320179]	$2,646 - $3,460	474%
Preferred Health Plan Contracted [320522]	$2,646	474%
90 Degree Benefits Contracted [320436]	$3,052	547%
Mercy Benefit Admin Contracted [320251]	$3,052 - $3,256	547%
Show-Me Health Administrators Contracted [320483]	$3,052	547%
United Medical Resources Contracted [320454]	$3,052 - $3,256	547%
Aither Health Contracted [320449]	$3,256	583%
Auxiant Contracted [320462]	$3,256	583%
Benefit Management Contracted [320052]	$3,256	583%
Ebms Contracted [320493]	$3,256	583%
Edison Health Solutions Contracted [320502]	$3,256	583%
Evolutions Health Care Contracted [320124]	$3,256	583%
First Health Contracted [320128]	$3,256	583%
Health Systems Inc Contracted [320174]	$3,256	583%
Imagine 360 Contracted [320494]	$3,256	583%
Insurance System Inc Contracted [320465]	$3,256	583%
Point C Contracted [320238]	$3,256 - $3,866	583%
Point C [20238]	$3,256	583%
Reflect Health Contracted [320492]	$3,256	583%
Workers Comp [20426]	$3,256 - $3,460	583%
Yuzu Health Contracted [320521]	$3,256	583%
American Healthcare Alliance Contracted [320020]	$3,460	620%
Usa Managed Care Org Contracted [320429]	$3,582	642%
Multiplan Contracted [320270]	$3,866	693%
Private Health Care Systems Contracted [320320]	$3,866	693%

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 $2,646.
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 Lebanon 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.