CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Stoughton Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $998
Cash Discount Price: $1,357
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Stoughton Hospital is $998. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,357. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.79x the Medicare baseline. Located in 900 Ridge St, Stoughton, WI.

Cash / Self-Pay

$1,357

Average discount available for prompt cash payment at this facility.

Insurance Median

$998

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: $1,357 (243%)

Insurance Median: $998 (179%)

Cash: $1,357 (243% of Medicare)

Ins. Median: $998 (179% 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.

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
Dean Health Insurance Comm - All Other Plans	$51 - $1,810	9%
Dean Health Insurance Epo	$51 - $1,810	9%
Healthnet Mcr Adv - All Plans	$56 - $949	10%
Tricare	$56 - $849	10%
Aetna	$66 - $3,031	12%
Dean Health Insurance Med Adv	$66 - $998	12%
Quartz Mcr Adv	$66 - $998	12%
Security Health/First Health - All Plans	$66 - $998	12%
UnitedHealthcare	$66 - $2,853	12%
Humana	$84 - $3,209	15%
Alliance - All Plans	$88 - $2,068	16%
Blue Cross Blue Shield	$128 - $3,102	23%
Quartz Health Solutions - All Other Lans	$146 - $225	26%
Medicaid / KanCare	$197 - $566	35%
Geha - All Plans	$1,026 - $2,674	184%
Cigna	$1,094 - $2,853	196%
Wisconsin Ppo Ppa Direct - All Plans	$1,094 - $2,853	196%
Wps - All Plans	$3,209	575%

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 $1,357.
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 Stoughton 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.