CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Aurora Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,932
Cash Discount Price: $2,200
vs. Medicare Baseline: 5.25x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Aurora Medical Center is $2,932. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,200. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.25x the Medicare baseline. Located in 975 Port Washington Road, Grafton, WI.

Cash / Self-Pay

$2,200

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,932

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: $2,200 (394%)

Insurance Median: $2,932 (525%)

Cash: $2,200 (394% of Medicare)

Ins. Median: $2,932 (525% 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 525% of the Medicare baseline (a markup of 425%). 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
Molina Exchange	$2,069	371%
Everpointe Elite	$2,145 - $2,255	384%
Hs Technology	$2,145 - $2,255	384%
UnitedHealthcare	$2,201 - $3,797	394%
Aetna	$2,291 - $3,725	410%
Blue Cross Blue Shield	$2,295 - $3,834	411%
Quartz One	$2,360 - $2,480	423%
Aurora Caregiver	$2,574 - $2,706	461%
Common Ground	$2,574 - $2,706	461%
Health Eos Plus	$2,574 - $2,706	461%
Healthpartners	$2,574 - $3,382	461%
Quartz Group	$2,574 - $2,706	461%
Wisconsin Physician Service	$2,660 - $2,932	476%
Health Payment Systems	$2,788 - $2,932	499%
Trilogy	$3,003 - $3,157	538%
Centivo	$3,218 - $3,382	576%
Cigna	$3,218 - $3,815	576%
Health Eos	$3,432 - $3,608	615%

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 $2,200.
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 Center 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.