CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Sanford Hillsboro

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,714
Cash Discount Price: $1,662
vs. Medicare Baseline: 3.07x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Sanford Hillsboro is $1,714. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,662. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.07x the Medicare baseline. Located in 12 Third Street Se, Hillsboro, ND.

Cash / Self-Pay

$1,662

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,714

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: $1,662 (298%)

Insurance Median: $1,714 (307%)

Cash: $1,662 (298% of Medicare)

Ins. Median: $1,714 (307% 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 307% of the Medicare baseline (a markup of 207%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$850 - $1,700	152%
Sanford Health Plan Align	$947	170%
Ucare	$1,018 - $1,825	182%
Aetna	$1,026 - $1,805	184%
Health Partners	$1,026 - $1,620	184%
Medicare (plans)	$1,026	184%
UnitedHealthcare	$1,026 - $1,734	184%
Primewest	$1,047	188%
Security Health Plan	$1,142	205%
Sanford Health Plan	$1,640 - $1,929	294%
Medica	$1,714 - $1,832	307%
First Choice Health Network	$1,869	335%
Healthez	$1,869	335%
Multiplan	$1,869	335%

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 $1,662.
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 Sanford Hillsboro 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.