CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Unitypoint Health - Meriter

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $530
Cash Discount Price: $2,942
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Unitypoint Health - Meriter is $530. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,942. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.95x the Medicare baseline. Located in 202 S Park St, Madison, WI.

Cash / Self-Pay

$2,942

Average discount available for prompt cash payment at this facility.

Insurance Median

$530

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: $2,942 (527%)

Insurance Median: $530 (95%)

Cash: $2,942 (527% of Medicare)

Ins. Median: $530 (95% 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
Aspirus	$64 - $2,207	11%
Blue Cross Blue Shield	$64 - $3,790	11%
Illinicare	$64 - $530	11%
Prevea 360	$64 - $3,391	11%
UnitedHealthcare	$64 - $1,519	11%
Humana	$67 - $530	12%
Meridiancare	$67 - $530	12%
Health Partners Open Network	$129 - $1,343	23%
Wellmark Uph Self-Funded	$198 - $2,123	35%
Medical Associates Health Plan	$273 - $1,324	49%
Cigna	$348 - $1,117	62%
Security Health Plan	$373 - $1,197	67%
Mercy Care	$435 - $1,396	78%
Quartz	$1,148	206%

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 $2,942.
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 Unitypoint Health - Meriter 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.