CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Merit Health Madison

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $940
Cash Discount Price: $520
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Merit Health Madison is $940. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $520. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.68x the Medicare baseline. Located in 161 River Oaks Drive, Canton, MS.

Cash / Self-Pay

$520

Average discount available for prompt cash payment at this facility.

Insurance Median

$940

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: $520 (93%)

Insurance Median: $940 (168%)

Cash: $520 (93% of Medicare)

Ins. Median: $940 (168% 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
Ms-Can-Molina	$430	77%
Ms-Can-Magnolia	$435	78%
Ms-Can-Truecare	$439	79%
Medicare (plans)	$493	88%
Wellcare	$508	91%
Humana	$513	92%
Devoted_Health	$518	93%
Molina-Chip	$919	165%
Magnolia-Chip	$940	168%
Truecare-Chip	$940	168%
Mpcn	$963	173%
Advhealth	$967	173%
United_Exchange	$975	175%
Firstchoice	$987	177%
Molina_Exchange	$1,061	190%
United	$1,131	203%
Cigna	$1,168	209%
Ambetter / Centene	$1,277	229%
Blue Cross Blue Shield	$1,300	233%

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 $520.
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 Merit Health Madison 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.