CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Nkc Health

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,706
Cash Discount Price: $1,790
vs. Medicare Baseline: 6.64x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Nkc Health is $3,706. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,790. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 6.64x the Medicare baseline. Located in 2800 Clay Edwards Drive, North Kansas City, MO.

Cash / Self-Pay

$1,790

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,706

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: $1,790 (321%)

Insurance Median: $3,706 (664%)

Cash: $1,790 (321% of Medicare)

Ins. Median: $3,706 (664% 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 664% of the Medicare baseline (a markup of 564%). 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
Ambetter / Centene	$481	86%
Aetna	$528 - $5,048	95%
Blue Cross Blue Shield	$528 - $4,733	95%
UnitedHealthcare	$547 - $1,463	98%
Humana	$561	100%
Occunet Network	$564	101%
Wellfit	$794 - $848	142%
Oscar	$2,291	410%
Centrus Health Direct	$2,468 - $2,900	442%
Cigna	$2,900	519%
Centivo	$3,703	663%
Quiktrip	$3,703	663%
Multiplan	$4,320 - $4,937	774%

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 $1,790.
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 Nkc Health 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.