CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,507
Cash Discount Price: $2,298
vs. Medicare Baseline: 4.49x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Froedtert Memorial Lutheran Hospital is $2,507. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,298. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.49x the Medicare baseline. Located in 9200 W Wisconsin Ave, Milwaukee, WI.

Cash / Self-Pay

$2,298

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,507

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: $2,298 (412%)

Insurance Median: $2,507 (449%)

Cash: $2,298 (412% of Medicare)

Ins. Median: $2,507 (449% 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 449% of the Medicare baseline (a markup of 349%). 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	$557 - $3,551	100%
Community Care	$557	100%
Health Partners	$557 - $2,590	100%
Humana	$557	100%
Icare	$557	100%
Molina	$557	100%
Priority Health	$557	100%
Quartz	$557	100%
Security Health Plan	$557 - $3,285	100%
UnitedHealthcare	$557 - $876	100%
Upper Peninsula Health Plan	$557	100%
Aetna	$568 - $2,716	102%
Wellcare	$568	102%
Care Wisconsin/Mychoice	$574	103%
Sheboygan Employers Health Network	$641	115%
Centivo	$1,253 - $1,379	224%
Medical College Of Wisconsin	$1,379	247%
Chorus Community Health Plan	$1,629	292%
Froedtert South	$1,671	299%
Wisconsin Physician Services Statewide Alliance	$2,632	471%
Trilogy	$2,716	487%
Health Payment Systems	$2,749	492%
Cigna	$3,259	584%
Dean Health Plan	$3,342	599%
Group Health Cooperative	$3,342	599%
Healtheos	$3,342	599%
Multiplan/Private Healthcare Systems	$3,342	599%
Healthsmart	$3,468	621%
Wisconsin Physician Services	$3,551	636%
First Health Network	$3,614	647%

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 $2,298.
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 Froedtert Memorial Lutheran Hospital 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.