CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: HSHS St Clare Memorial Hospital

Billing Code: 93306 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$592

about 1.1× the $558 Medicare rate · typically $352–$1,374

modeled estimate · not a bill or quote

What this hospital charges insurers

$568

About the fair price

about $24 under the fair price · 1.0× Medicare

Medicare pays $558 Fair price $592 This hospital $568 Cash price $1,709 Hospital's list price $2,590

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $96 Priciest $568

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Echocardiogram (heart ultrasound) is about $592 (about 1.1× the $558 Medicare rate). HSHS St Clare Memorial Hospital charges insurers about $568, or about $1,709 in cash — about the fair price. Located in Oconto Falls, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$568 - $2,590	102%
Blue Cross Blue Shieldmajor	$622 - $2,590	111%
Aetnamajor	$622 - $2,590	111%
Cignamajor	$1,619	290%
Humanamajor	$622 - $2,590	111%
Health Net	$524	94%
Meridian	$703	126%
Molina	$622 - $2,590	111%
Security Health Plan	$628 - $2,616	112%
+ 16 smaller / regional plans	$524 - $2,590

Government programs also on file: Medicaid.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,709), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93306.

Insurance Before you use insurance

Call your insurance company to confirm HSHS St Clare Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 93306.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at HSHS St Clare Memorial Hospital

Compare: Echocardiogram (heart ultrasound) at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.