CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Gundersen Moundview Hospital and Clinics

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,508
Cash Discount Price: $1,339
vs. Medicare Baseline: 2.70x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Gundersen Moundview Hospital and Clinics is $1,508. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,339. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.70x the Medicare baseline. Located in 402 W Lake St, Friendship, WI.

Cash / Self-Pay

$1,339

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,508

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: $1,339 (240%)

Insurance Median: $1,508 (270%)

Cash: $1,339 (240% of Medicare)

Ins. Median: $1,508 (270% 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 270% of the Medicare baseline (a markup of 170%). 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
Amerigroup	$202	36%
UnitedHealthcare	$637	114%
Blue Cross Blue Shield	$1,201 - $1,897	215%
Health Partners	$1,201 - $2,306	215%
Security Health Plan	$1,201	215%
Ucare	$1,201 - $2,089	215%
Quartz	$1,423	255%
Iowa Total Care	$1,449	260%
Managed Health Service	$1,449	260%
Wps	$2,013	361%
Wps - Arise	$2,013	361%
Dean Health Plan	$2,076	372%
Alliance	$2,089 - $2,480	374%
Aspirus Arise Health	$2,167	388%
Humana	$2,219	397%
Multiplan/Healtheos	$2,298 - $2,507	412%
Coventry Health Care	$2,480	444%

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 $1,339.
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 Gundersen Moundview Hospital and Clinics 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.