CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,628
Cash Discount Price: $3,017
vs. Medicare Baseline: 4.71x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $2,628. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,017. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.71x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$3,017

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,628

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: $3,017 (540%)

Insurance Median: $2,628 (471%)

Cash: $3,017 (540% of Medicare)

Ins. Median: $2,628 (471% 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 471% of the Medicare baseline (a markup of 371%). 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
The Alliance	$1,613	289%
Security Health Plan (Shp)	$1,651 - $1,834	296%
Amish/Mennonite	$1,747	313%
Quartz	$1,810	324%
Blue Cross Blue Shield	$1,969 - $2,350	353%
Wps Health Insurance	$2,137	383%
Cigna	$2,160 - $2,350	387%
Health Payment Systems	$2,210	396%
UnitedHealthcare	$2,379	426%
Humana	$2,509 - $2,827	449%
Group Health Cooperative Of Eau Claire	$2,604 - $3,017	466%
Network Health Plan	$2,652	475%
First Health	$2,700	484%
Molina Healthcare Of Wi	$2,700	484%
Trilogy	$2,858	512%
Healtheos By Multiplan Inc.	$2,954 - $3,017	529%
Health Partners	$3,017	540%
Coventry	$3,049	546%

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 $3,017.
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 - Beaver Dam (Mmc-Bd) 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.