CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Holy Family Memorial

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,610
Cash Discount Price: $1,488
vs. Medicare Baseline: 2.88x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Holy Family Memorial is $1,610. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,488. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.88x the Medicare baseline. Located in 2300 Western Ave, Manitowoc, WI.

Cash / Self-Pay

$1,488

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,610

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: $1,488 (267%)

Insurance Median: $1,610 (288%)

Cash: $1,488 (267% of Medicare)

Ins. Median: $1,610 (288% 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 288% of the Medicare baseline (a markup of 188%). 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
Network Health Plan	$515 - $573	92%
Blue Cross Blue Shield	$521 - $1,597	93%
Community Care Incorporated	$521	93%
Health Partners	$521 - $1,759	93%
Humana	$521	93%
Icare	$521	93%
Molina	$521 - $563	93%
Security Health Plan	$521 - $2,165	93%
UnitedHealthcare	$521 - $847	93%
Allwell	$532	95%
Medical College Of Wisconsin	$893	160%
Centivo	$1,082 - $1,245	194%
Dean Health Plan	$1,353	242%
Health Payment Systems	$1,526	273%
Sheboygan Employers Health Network	$1,624	291%
Chorus Community Health Plan	$1,740	312%
Trilogy	$1,786	320%
Cigna	$1,948	349%
Wps Health Plan	$2,002	359%
Aspirus	$2,165	388%
Healtheos	$2,165	388%
Multiplan/Private Healthcare Systems	$2,165	388%
Preferred One	$2,165	388%
Healthsmart	$2,246	402%
First Health Network	$2,381	427%

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 $1,488.
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 Holy Family Memorial 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.