CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: Mercy Hospital Ardmore, Inc
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $1,972
- Cash Discount Price: $2,136
- vs. Medicare Baseline: 3.53x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mercy Hospital Ardmore, Inc is $1,972. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,136. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.53x the Medicare baseline. Located in 1011 14Th Ave Nw, Ardmore, OK.
Cash / Self-Pay
$2,136
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,972
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: $2,136 (383%)
Insurance Median: $1,972 (353%)
Cash: $2,136 (383% of Medicare)
Ins. Median: $1,972 (353% 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 353% of the Medicare baseline (a markup of 253%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 - $2,090 | 30% |
| Humana | $168 - $2,267 | 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 - $3,286 | 98% |
| Mercy Hospice Okc [20252] | $548 | 98% |
| Provider Partners Health Plans Contracted [320450] | $548 | 98% |
| Qual Choice Contracted [320325] | $548 | 98% |
| Tribute Health Plan Mcr Contracted [320338] | $548 | 98% |
| Tricare | $548 | 98% |
| Globalhealth Contracted [320145] | $559 | 100% |
| UnitedHealthcare | $559 - $1,587 | 100% |
| Cigna | $565 - $1,998 | 101% |
| Ambetter / Centene | $754 | 135% |
| Home State Health Plan Contracted [320187] | $754 | 135% |
| Novasys Contracted [320285] | $754 | 135% |
| Community Care Contracted [320080] | $838 - $2,300 | 150% |
| Health Choice Contracted [320166] | $1,097 | 197% |
| Healthsmart Preferred Care Contracted [320184] | $1,233 - $2,136 | 221% |
| Kempton Contracted [320214] | $1,233 | 221% |
| Medica Contracted [320239] | $1,259 - $3,286 | 226% |
| Healthcare Highways Plus Contracted [320175] | $1,282 - $1,972 | 230% |
| Webtpa Contracted [320417] | $1,380 | 247% |
| Osma Health Contracted [320292] | $1,479 | 265% |
| United Medical Resources Contracted [320454] | $1,587 - $2,136 | 284% |
| Aither Health Contracted [320449] | $1,972 | 353% |
| Auxiant Contracted [320462] | $1,972 - $2,136 | 353% |
| Benefit Management Contracted [320052] | $1,972 - $2,136 | 353% |
| Ebms Contracted [320493] | $1,972 | 353% |
| Healthlink Contracted [320179] | $1,972 - $2,136 | 353% |
| Imagine 360 Contracted [320494] | $1,972 | 353% |
| Mercy Benefit Admin Contracted [320251] | $1,972 - $2,136 | 353% |
| Quik Trip Contracted [320447] | $1,972 | 353% |
| Reflect Health Contracted [320492] | $1,972 | 353% |
| Show-Me Health Administrators Contracted [320483] | $1,972 | 353% |
| Workers Comp [20426] | $1,972 | 353% |
| Yuzu Health Contracted [320521] | $1,972 | 353% |
| Federal Medical Center Contracted [320127] | $2,136 | 383% |
| Healthscope Contracted [320182] | $2,136 | 383% |
| Healthsmart Accel Contracted [320183] | $2,136 | 383% |
| Point C Contracted [320238] | $2,136 | 383% |
| Preferred Health Plan Contracted [320522] | $2,136 | 383% |
| Tri State Healthcare Coalition Contracted [320379] | $2,136 | 383% |
| First Health Contracted [320128] | $2,185 | 391% |
| Globalhealth Contracted [320144] | $2,234 | 400% |
| Private Health Care Systems Contracted [320320] | $2,464 - $2,629 | 441% |
| Preferred Community Choice Contracted [320311] | $2,497 | 447% |
| Multiplan Contracted [320270] | $2,629 - $2,957 | 471% |