CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Guadalupe Regional Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,626
Cash Discount Price: $1,774
vs. Medicare Baseline: 2.91x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Guadalupe Regional Medical Center is $1,626. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,774. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.91x the Medicare baseline. Located in 1215 E Court St, Seguin, TX.

Cash / Self-Pay

$1,774

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,626

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: $1,774 (318%)

Insurance Median: $1,626 (291%)

Cash: $1,774 (318% of Medicare)

Ins. Median: $1,626 (291% 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 291% of the Medicare baseline (a markup of 191%). 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
Aetna	$180 - $3,346	32%
Christus Exchange Health Plan	$180 - $526	32%
Mcr Clover Health	$180 - $526	32%
Mcr Texas Independence Health	$180 - $526	32%
Mcr Wellcare	$180 - $526	32%
Oscar Health Plan	$180 - $526	32%
Va Triwest Health Alliance	$180 - $526	32%
Blue Cross Blue Shield	$481 - $535	86%
Superior Hlth Plan Mmcd	$1,490 - $1,771	267%
Healthcare Highways	$2,482 - $2,952	445%
UnitedHealthcare	$2,482 - $2,952	445%
Humana	$2,814 - $3,346	504%
Cigna	$2,979 - $3,542	534%
Texas Mutual Insurance Co	$2,979 - $3,542	534%

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 $1,774.
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 Guadalupe Regional Medical Center 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.