CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Wooster Community Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $1,394
  • Cash Discount Price: $1,742
  • vs. Medicare Baseline: 2.50x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Wooster Community Hospital is $1,394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,742. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.50x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$1,742

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,394

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: $1,742 (312%)
Insurance Median: $1,394 (250%)
Cash: $1,742 (312% of Medicare)
Ins. Median: $1,394 (250% 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 250% of the Medicare baseline (a markup of 150%). 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
Buckeye Mcaid-All Other Plans $309 55%
Caresource Mcaid $309 55%
UnitedHealthcare $309 - $1,655 55%
Molina Mcaid $316 57%
Blue Cross Blue Shield $319 - $1,603 57%
Aetna $325 - $1,742 58%
Amerihealth Mcaid-All Plans $325 58%
Tricare $518 93%
Buckeye Mcare $528 95%
Caresource Mcr Adv $528 95%
Humana $528 - $1,637 95%
Med Mutual Of Oh Mcr $528 95%
Molina Mcr $528 95%
Summacare Mcr $528 95%
The Health Plan Mcr Adv $528 95%
Valor Hp Mcr-All Plans $528 95%
Magnipower-All Plans $687 123%
Caresource Exch - All Other Plans $755 135%
Aultcare/Primecare Mcr Adv $854 153%
Molina Marketplace - All Other Plans $898 161%
Clarity Health - All Plans $1,030 185%
Cerco-All Plans $1,219 218%
Aultcare Wayne County $1,306 234%
Aultcare/Primetime Exch $1,306 234%
Rayco-All Plans $1,306 234%
Christian Health Ministries-All Plans $1,394 250%
Cigna $1,394 250%
Health Ohio Network Employer $1,394 250%
Wayne County-All Plans $1,394 250%
Healthsmart Accel $1,446 259%
Summacare Preferred Choice $1,446 259%
Health Ohio Network Ppo-All Other Plans $1,481 265%
Healthsmart Complete Ppo-All Other Plans $1,481 265%
Ohio Health Choice Supp $1,481 265%
Ohio Health Group Hlthy - All Other Plans $1,481 265%
Med Mutual Of Oh Exchange $1,498 268%
Med Mutual Of Oh Supermed $1,498 268%
Med Mutual Of Oh Trad-All Other Plans $1,498 268%
Health Plan Of Upper Ohio-All Plans $1,535 275%
The Health Plan Comm - All Other Plans $1,535 275%
Ohio Health Group Pref $1,550 278%
Aultcare/Primetime-All Other Plans $1,568 281%
Healthsmart Ppo $1,585 284%
Summacare-All Other Plans $1,620 290%
Ohio Health Choice-All Other Plans $1,637 293%
Healthsmart Hpo $1,655 296%
Osu-All Plans $1,655 296%
Central Benefits-All Plans $1,672 300%
First Health-All Plans $1,672 300%
Flora-All Plans $1,672 300%
Beech Street-All Plans $1,690 303%
Phcs-All Plans $1,690 303%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals