CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: The Children's Mercy Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $341
Cash Discount Price: $1,132
vs. Medicare Baseline: 0.61x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at The Children's Mercy Hospital is $341. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,132. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.61x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$1,132

Average discount available for prompt cash payment at this facility.

Insurance Median

$341

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: $1,132 (203%)

Insurance Median: $341 (61%)

Cash: $1,132 (203% of Medicare)

Ins. Median: $341 (61% 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
UnitedHealthcare	$53 - $3,035	9%
Healthy Blue	$57 - $1,370	10%
Medicaid / KanCare	$57 - $341	10%
Wppa Providrs Care	$81 - $2,935	15%
Healthlink	$89 - $3,974	16%
Health Midwest Comprehensive Care	$93 - $2,940	17%
American Healthcare Alliance	$96 - $3,839	17%
Quiktrip	$99 - $2,940	18%
Humana	$116 - $3,003	21%
Orscheln	$117 - $2,935	21%
Medica	$118 - $2,633	21%
Blue Cross Blue Shield	$120 - $3,342	21%
Aetna	$126 - $3,071	23%
Wellfit/Centrus	$128 - $2,935	23%
Centivo	$132 - $2,935	24%
Nebraska Furniture Mart	$137 - $2,935	25%
Mercy Health	$147 - $3,387	26%
Coxhealth Network	$149 - $3,342	27%
Cigna	$152 - $3,139	27%
Coventry Health Care Of Kansas	$159 - $3,342	28%
National Preferred Provider Network	$178 - $4,064	32%
Home State Health	$213 - $1,203	38%
Multiplan	$3,432	615%

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 $1,132.
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 The Children's Mercy 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.