CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Aurora Medical Ctr Oshkosh

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,535
Cash Discount Price: $1,898
vs. Medicare Baseline: 4.54x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Aurora Medical Ctr Oshkosh is $2,535. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,898. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.54x the Medicare baseline. Located in 855 N Westhaven Drive, Oshkosh, WI.

Cash / Self-Pay

$1,898

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,535

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: $1,898 (340%)

Insurance Median: $2,535 (454%)

Cash: $1,898 (340% of Medicare)

Ins. Median: $2,535 (454% 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 454% of the Medicare baseline (a markup of 354%). 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
Everpointe Elite	$1,845 - $1,950	330%
Hs Technology	$1,845 - $1,950	330%
Aetna	$1,970 - $3,221	353%
Quartz One	$2,030 - $2,145	364%
Molina Exchange	$2,069	371%
UnitedHealthcare	$2,201 - $3,284	394%
Aurora Caregiver	$2,214 - $2,340	397%
Common Ground	$2,214 - $2,340	397%
Health Eos Plus	$2,214 - $2,340	397%
Healthpartners	$2,214 - $2,925	397%
Quartz Group	$2,214 - $2,340	397%
Wisconsin Physician Service	$2,288 - $2,535	410%
Blue Cross Blue Shield	$2,295 - $3,315	411%
Health Payment Systems	$2,398 - $2,535	430%
Trilogy	$2,583 - $2,730	463%
Centivo	$2,768 - $2,925	496%
Cigna	$2,768 - $3,299	496%
Health Eos	$2,952 - $3,120	529%

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 $1,898.
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 Aurora Medical Ctr Oshkosh 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.