CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mercy Hospital Ada

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $2,257
  • Cash Discount Price: $2,934
  • vs. Medicare Baseline: 4.04x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mercy Hospital Ada is $2,257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,934. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.04x the Medicare baseline. Located in 430 North Monte Vista, Ada, OK.
Cash / Self-Pay
$2,934

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,257

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: $2,934 (526%)
Insurance Median: $2,257 (404%)
Cash: $2,934 (526% of Medicare)
Ins. Median: $2,257 (404% 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 404% of the Medicare baseline (a markup of 304%). 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
Aetna $168 - $3,395 30%
Humana $168 - $559 30%
Medicaid / KanCare $168 - $754 30%
Blue Cross Blue Shield $548 98%
Cherokee Nation Health Serv Contracted [320066] $548 98%
Cross Timbers Hospice [20098] $548 98%
Dept Of Veteran Affairs Contracted [320106] $548 98%
Elara Caring Aspire Hospice Contracted [320433] $548 98%
Elara Caring Aspire Hospice [20433] $548 98%
Halo Hcr Inc Hospice Contracted [320432] $548 98%
Halo Hcr Inc Hospice [20432] $548 98%
Independent Health [20197] $548 98%
Indian Health Service Contracted [320198] $548 98%
Kindful Hospice Contracted [320434] $548 98%
Kindful Hospice [20434] $548 98%
Medical Associates Health [20444] $548 98%
Medicare (plans) $548 - $4,514 98%
Mercy Hospice Okc [20252] $548 98%
Provider Partners Health Plans Contracted [320450] $548 98%
Qual Choice Contracted [320325] $548 98%
Tricare $548 98%
UnitedHealthcare $548 - $3,160 98%
Globalhealth Contracted [320145] $559 100%
Cigna $565 101%
Ambetter / Centene $754 135%
Home State Health Plan Contracted [320187] $754 135%
Novasys Contracted [320285] $754 135%
Health Choice Contracted [320166] $1,097 197%
Healthsmart Preferred Care Contracted [320184] $1,233 221%
Kempton Contracted [320214] $1,233 221%
Healthcare Highways Plus Contracted [320175] $1,760 - $3,386 315%
Webtpa Contracted [320417] $1,896 340%
Osma Health Contracted [320292] $2,031 364%
Medica Contracted [320239] $2,104 - $4,514 377%
Benefit Management Contracted [320052] $2,257 - $2,934 404%
Aither Health Contracted [320449] $2,708 485%
Auxiant Contracted [320462] $2,708 485%
Ebms Contracted [320493] $2,708 485%
Federal Medical Center Contracted [320127] $2,708 485%
Healthlink Contracted [320179] $2,708 485%
Healthscope Contracted [320182] $2,708 485%
Imagine 360 Contracted [320494] $2,708 485%
Mercy Benefit Admin Contracted [320251] $2,708 - $2,934 485%
Point C Contracted [320238] $2,708 485%
Preferred Health Plan Contracted [320522] $2,708 485%
Quik Trip Contracted [320447] $2,708 485%
Reflect Health Contracted [320492] $2,708 485%
Show-Me Health Administrators Contracted [320483] $2,708 485%
United Medical Resources Contracted [320454] $2,708 - $3,160 485%
Workers Comp [20426] $2,708 485%
Yuzu Health Contracted [320521] $2,708 485%
First Health Contracted [320128] $3,751 672%
Multiplan Contracted [320270] $3,837 687%
Private Health Care Systems Contracted [320320] $3,837 687%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 430 North Monte Vista, Ada, OK 74820
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals