CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Fort Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $431
Cash Discount Price: $554
vs. Medicare Baseline: 0.77x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Fort Memorial Hospital is $431. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $554. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.77x the Medicare baseline. Located in 611 Sherman Ave E, Fort Atkinson, WI.

Cash / Self-Pay

$554

Average discount available for prompt cash payment at this facility.

Insurance Median

$431

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: $554 (99%)

Insurance Median: $431 (77%)

Cash: $554 (99% of Medicare)

Ins. Median: $431 (77% 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
Humana	$68 - $528	12%
Molina	$69 - $528	12%
UnitedHealthcare	$107 - $528	19%
Aetna	$184 - $2,226	33%
Blue Cross Blue Shield	$194 - $1,950	35%
Dean Health Plan	$194 - $2,843	35%
Medicaid / KanCare	$194	35%
Quartz	$194 - $1,924	35%
Managed Health Services	$212	38%
Fort Care	$218 - $615	39%
Group Health Cooperative	$295 - $1,920	53%
Alliance	$327 - $2,130	59%
Mercycare	$340 - $2,210	61%
Trilogy	$401 - $2,610	72%
Cigna	$433 - $2,820	78%
Medicare (plans)	$528	95%
Veteran Evaluation Services	$638	114%
Centivo	$2,208 - $2,300	396%

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 $554.
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 Fort 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.