CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,812
Cash Discount Price: $1,868
vs. Medicare Baseline: 3.25x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at University of Wi Hospitals & Clinics Authority is $1,812. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,868. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.25x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.

Cash / Self-Pay

$1,868

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,812

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: $1,868 (335%)

Insurance Median: $1,812 (325%)

Cash: $1,868 (335% of Medicare)

Ins. Median: $1,812 (325% 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 325% of the Medicare baseline (a markup of 225%). 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
Aetna	$558 - $2,497	100%
Blue Cross Blue Shield	$558 - $2,957	100%
Humana	$558	100%
Medicare (plans)	$558 - $569	100%
UnitedHealthcare	$558 - $1,949	100%
Alliance_Premier_Network	$1,487	266%
Mercycare	$1,544	277%
Triology	$1,588 - $1,899	284%
Security_Health_Plan	$1,681 - $1,977	301%
Employer'S_Coalition_On_Health	$1,712 - $2,397	307%
Alliance	$1,751	314%
Hfn	$1,774 - $2,397	318%
United_Healthcare	$1,784 - $2,643	320%
Beloit_Health_System	$1,806	324%
Aspirus_Health_Plan	$1,818	326%
Cigna	$1,868	335%
Health_Partners_Insurance	$1,899	340%
Health_Payment_Systems	$1,908	342%
Dean_Health_Plan	$1,992	357%
Medical_Associates	$2,055	368%
Wps	$2,157 - $2,375	386%
Employers_Healthcare_Coalition_Of_Wi	$2,179	390%
Aspirus_Network_Inc	$2,397	429%
Chorus_Community	$2,490	446%
Ghc_Eau_Claire_Health_Plan	$2,490	446%
Multiplan	$2,490 - $2,864	446%
Sheybogan_Employers_Health_Network	$2,490	446%
Coventry	$2,646	474%
Dean_Care	$2,646	474%
Healthsmart	$2,739	491%

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 $1,868.
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 University of Wi Hospitals & Clinics Authority 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.