CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,193
Cash Discount Price: $2,193
vs. Medicare Baseline: 3.93x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Marshfield Medical Center - Rice Lake is $2,193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,193. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.93x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$2,193

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,193

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: $2,193 (393%)

Insurance Median: $2,193 (393%)

Cash: $2,193 (393% of Medicare)

Ins. Median: $2,193 (393% 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 393% of the Medicare baseline (a markup of 293%). 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
Family Health Center (Fhc)	$1,154	207%
Security Health Plan (Shp)	$1,235 - $1,688	221%
Amish/Mennonite	$1,269	227%
Sanford Health Plan	$1,269	227%
The Alliance	$1,629 - $2,193	292%
Blue Cross Blue Shield	$1,800 - $2,077	322%
Group Health Cooperative Of Eau Claire	$1,893 - $2,216	339%
UnitedHealthcare	$1,902	341%
Molina Healthcare Of Wi	$1,962	351%
Besse Forest Products	$2,193	393%
Cigna	$2,193	393%
Corvel	$2,193	393%
First Health	$2,193	393%
Health Partners	$2,193	393%
Healtheos By Multiplan Inc.	$2,193	393%
Rice Lake School District	$2,193	393%
Medica Of Wi	$2,204 - $2,248	395%
Trilogy	$2,204 - $2,216	395%
Coventry	$2,216	397%
Health Smart	$2,216	397%
Rising Medical Work Comp	$2,239	401%
Wps Health Insurance	$2,250	403%
Three Rivers Provider Network (Trpn)	$2,262	405%

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 $2,193.
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 Marshfield Medical Center - Rice Lake 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.