CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Aurora Medical Center Sheboygan County

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,875
Cash Discount Price: $1,303
vs. Medicare Baseline: 3.36x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Aurora Medical Center Sheboygan County is $1,875. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,303. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.36x the Medicare baseline. Located in 2629 N 7Th St, Sheboygan, WI.

Cash / Self-Pay

$1,303

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,875

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: $1,303 (233%)

Insurance Median: $1,875 (336%)

Cash: $1,303 (233% of Medicare)

Ins. Median: $1,875 (336% 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 336% of the Medicare baseline (a markup of 236%). 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
Everpointe Elite	$1,250 - $1,355	224%
Hs Technology	$1,250 - $1,355	224%
Aetna	$1,335 - $2,238	239%
Quartz One	$1,375 - $1,490	246%
Aurora Caregiver	$1,500 - $1,626	269%
Common Ground	$1,500 - $1,626	269%
Health Eos Plus	$1,500 - $1,626	269%
Healthpartners	$1,500 - $2,032	269%
Quartz Group	$1,500 - $1,626	269%
Wisconsin Physician Service	$1,550 - $1,762	278%
Health Payment Systems	$1,625 - $1,762	291%
Trilogy	$1,750 - $1,897	313%
Centivo	$1,875 - $2,032	336%
Cigna	$1,875 - $2,293	336%
Health Eos	$2,000 - $2,168	358%
Molina Exchange	$2,069	371%
UnitedHealthcare	$2,105 - $2,415	377%
Blue Cross Blue Shield	$2,125 - $2,958	381%

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 $1,303.
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 Aurora Medical Center Sheboygan County 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.