CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Hermann Area District Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $999
Cash Discount Price: $1,363
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Hermann Area District Hospital is $999. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,363. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.79x the Medicare baseline. Located in 509 W 18Th St, Hermann, MO.

Cash / Self-Pay

$1,363

Average discount available for prompt cash payment at this facility.

Insurance Median

$999

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: $1,363 (244%)

Insurance Median: $999 (179%)

Cash: $1,363 (244% of Medicare)

Ins. Median: $999 (179% 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.

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
Harmony Hp Mcaid- All Plans	$50	9%
Care Partners Mcaid- All Plans	$52	9%
Ambetter / Centene	$100 - $180	18%
Healthy Blue Mcaid - All Plans	$173	31%
Blue Cross Blue Shield	$187 - $1,849	33%
UnitedHealthcare	$187 - $954	33%
Tricare	$899	161%
Choicecare Mcr Adv- All Plans	$954	171%
American Hlth Mcr Adv- All Plans	$999	179%
Humana	$999	179%
Aetna	$1,019 - $2,157	183%
Wellcare Mcr Adv - All Plans	$1,019	183%
Cigna	$1,349	242%
Healthcare Usa Mcaid- All Plans	$1,476	264%
Healthlink Hmo	$1,476	264%
Healthlink Ppo - All Other Plans	$1,703	305%
Multiplan/Phcs - All Plans	$1,703	305%
Coventry - All Plans	$1,930	346%
Comp Results - All Plans	$2,044	366%
Three Rivers - All Plans	$2,044	366%

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 $1,363.
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 Hermann Area District Hospital 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.