CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: Mercy Hospital Carthage
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $749
- Cash Discount Price: $1,310
- vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mercy Hospital Carthage is $749. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,310. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.34x the Medicare baseline. Located in 3125 Dr Russell Smith Way, Carthage, MO.
Cash / Self-Pay
$1,310
Average discount available for prompt cash payment at this facility.
Insurance Median
$749
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: $1,310 (235%)
Insurance Median: $749 (134%)
Cash: $1,310 (235% of Medicare)
Ins. Median: $749 (134% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $168 - $2,847 | 30% |
| Humana | $168 - $960 | 30% |
| Medicaid / KanCare | $168 - $1,756 | 30% |
| Medicare (plans) | $193 - $947 | 35% |
| Blue Cross Blue Shield | $218 - $2,367 | 39% |
| Centivo Contracted [320505] | $218 - $1,472 | 39% |
| Dept Of Veteran Affairs Contracted [320106] | $218 - $879 | 39% |
| UnitedHealthcare | $218 - $2,783 | 39% |
| Tricare | $229 - $882 | 41% |
| Cherokee Nation Health Serv Contracted [320066] | $233 - $879 | 42% |
| Cigna | $233 - $2,879 | 42% |
| Cross Timbers Hospice [20098] | $233 - $879 | 42% |
| Elara Caring Aspire Hospice [20433] | $233 - $879 | 42% |
| Globalhealth Contracted [320145] | $233 - $879 | 42% |
| Halo Hcr Inc Hospice Contracted [320432] | $233 - $879 | 42% |
| Halo Hcr Inc Hospice [20432] | $233 - $879 | 42% |
| Healthscope Contracted [320182] | $233 - $1,667 | 42% |
| Indian Health Service Contracted [320198] | $233 - $879 | 42% |
| Kindful Hospice Contracted [320434] | $233 - $879 | 42% |
| Kindful Hospice [20434] | $233 - $879 | 42% |
| Medical Associates Health Contracted [320444] | $233 - $879 | 42% |
| Mercy Hospice Okc [20252] | $233 - $879 | 42% |
| Mercy Mgd Behavioral Health Contracted [320259] | $233 - $879 | 42% |
| Pace Of The Ozarks Contracted [320518] | $233 - $879 | 42% |
| Provider Partners Health Plans Contracted [320450] | $233 - $879 | 42% |
| Qual Choice Contracted [320325] | $233 - $879 | 42% |
| Point C Contracted [320238] | $291 - $2,879 | 52% |
| Health Systems Inc Contracted [320174] | $358 - $1,376 | 64% |
| Insurance System Inc Contracted [320465] | $358 - $1,376 | 64% |
| Administrative Payor Contracted [320005] | $374 - $1,440 | 67% |
| Ambetter / Centene | $457 - $1,756 | 82% |
| Home State Health Plan Contracted [320187] | $457 - $1,756 | 82% |
| Novasys Contracted [320285] | $457 - $1,756 | 82% |
| Benefit Management Contracted [320052] | $499 - $2,783 | 89% |
| Auxiant Contracted [320462] | $541 - $2,719 | 97% |
| Healthlink Contracted [320179] | $541 - $2,975 | 97% |
| Preferred Health Plan Contracted [320522] | $541 - $2,079 | 97% |
| Workers Comp [20426] | $666 - $3,199 | 119% |
| United Medical Resources Contracted [320454] | $691 - $2,879 | 124% |
| 90 Degree Benefits Contracted [320436] | $707 - $2,719 | 127% |
| Aither Health Contracted [320449] | $707 - $2,719 | 127% |
| Ebms Contracted [320493] | $707 - $2,719 | 127% |
| Edison Health Solutions Contracted [320502] | $707 - $2,719 | 127% |
| Imagine 360 Contracted [320494] | $707 - $2,719 | 127% |
| Mercy Benefit Admin Contracted [320251] | $707 - $2,879 | 127% |
| Reflect Health Contracted [320492] | $707 - $2,719 | 127% |
| Show-Me Health Administrators Contracted [320483] | $707 - $2,719 | 127% |
| Yuzu Health Contracted [320521] | $707 - $2,719 | 127% |
| Medica Contracted [320239] | $721 - $2,770 | 129% |
| Evolutions Health Care Contracted [320124] | $724 - $2,783 | 130% |
| First Health Contracted [320128] | $724 - $2,783 | 130% |
| Multiplan Contracted [320270] | $724 - $2,783 | 130% |
| Private Health Care Systems Contracted [320320] | $724 - $2,783 | 130% |
| American Healthcare Alliance Contracted [320020] | $749 - $2,879 | 134% |
| Ppo Plus Contracted [320310] | $749 - $2,879 | 134% |
| Usa Managed Care Org Contracted [320429] | $749 - $2,879 | 134% |