CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Prosser Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $137
Cash Discount Price: $890
vs. Medicare Baseline: 0.25x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Prosser Memorial Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $890. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.25x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$890

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $890 (159%)

Insurance Median: $137 (25%)

Cash: $890 (159% of Medicare)

Ins. Median: $137 (25% 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.

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
Community Health Plan Of Washington	$39 - $1,155	7%
Coordinated Care	$39 - $1,155	7%
Kaiser Permanente	$39 - $2,596	7%
UnitedHealthcare	$39 - $2,282	7%
Amerigroup	$41 - $1,225	7%
Molina	$41 - $1,155	7%
Health Alliance Northwest	$76 - $713	14%
Humana	$76 - $2,425	14%
Wellcare	$76 - $713	14%
Cigna	$86 - $2,339	15%
Aetna	$90 - $2,425	16%
Premera	$92 - $2,282	16%
Asuris	$104 - $2,568	19%
Health Management Adminstrators	$104 - $2,568	19%
Regence	$104 - $2,568	19%
Ambetter / Centene	$137 - $2,197	25%
Multiplan	$326 - $2,568	58%
First Choice	$2,425	434%

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 $890.
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 Prosser Memorial Hospital 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.