CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Beloit Health System

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,951
Cash Discount Price: $1,049
vs. Medicare Baseline: 3.49x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Beloit Health System is $1,951. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,049. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.49x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$1,049

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,951

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: $1,049 (188%)

Insurance Median: $1,951 (349%)

Cash: $1,049 (188% of Medicare)

Ins. Median: $1,951 (349% 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 349% of the Medicare baseline (a markup of 249%). 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
Cook Children'S Health Plan (Cchp)	$65 - $575	12%
UnitedHealthcare	$65 - $2,887	12%
Aetna	$68 - $3,657	12%
Blue Cross Blue Shield	$68 - $2,502	12%
Dean Health	$68 - $2,154	12%
Independent Care Health Plan	$68 - $575	12%
Quartz	$68 - $2,502	12%
Naphcare	$102 - $2,309	18%
Humana	$252 - $2,887	45%
The Alliance	$259 - $2,300	46%
Wps	$273 - $2,851	49%
Managed Health Services	$575	103%
Molina Healthcare	$575	103%
Wellcare	$575	103%
Wea Trust	$816 - $2,117	146%
Multiplan	$1,186 - $3,079	212%
Health Eos	$1,350 - $3,503	242%
Cigna	$1,409 - $3,657	252%
Hfn	$1,409 - $3,657	252%
Preferred Network Access	$1,409 - $3,657	252%

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 $1,049.
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 Beloit Health System 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.