CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Wilkes Regional Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $1,251
  • Cash Discount Price: $1,225
  • vs. Medicare Baseline: 2.24x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Wilkes Regional Medical Center is $1,251. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,225. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.24x the Medicare baseline. Located in 1370 West D St, North Wilkesboro, NC.
Cash / Self-Pay
$1,225

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,251

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: $1,225 (219%)
Insurance Median: $1,251 (224%)
Cash: $1,225 (219% of Medicare)
Ins. Median: $1,251 (224% 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 224% of the Medicare baseline (a markup of 124%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Amerihealth $458 - $1,423 82%
Carolina Complete $458 82%
Healthblue $458 82%
Partners $458 82%
UnitedHealthcare $463 - $1,308 83%
Vaya $463 83%
Wellcare $463 83%
Alliance $467 84%
Trillium $472 85%
Healthteam $539 97%
Medcost $706 - $1,749 126%
Blue Cross Blue Shield $800 - $1,430 143%
Aetna $931 - $1,683 167%
Ambetter / Centene $1,036 - $1,492 186%
Cigna $1,284 - $1,328 230%
Oscar $1,348 - $1,592 241%
Directnet $1,448 259%
Private Healthcare Systems $2,205 395%
Multiplan $2,254 404%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1370 West D St, North Wilkesboro, NC 28659
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals