CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Childrens Hospital of Wisconsin

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $3,971
  • Cash Discount Price: $2,582
  • vs. Medicare Baseline: 7.11x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Childrens Hospital of Wisconsin is $3,971. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,582. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 7.11x the Medicare baseline. Located in 9000 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$2,582

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,971

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: $2,582 (463%)
Insurance Median: $3,971 (711%)
Cash: $2,582 (463% of Medicare)
Ins. Median: $3,971 (711% 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 711% of the Medicare baseline (a markup of 611%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Froedtert Health $3,286 - $3,990 589%
Medical College Of Wisconsin $3,286 589%
Network Health Plan $3,342 599%
UnitedHealthcare $3,450 - $3,572 618%
Aspirus Health Plan $3,520 631%
Common Ground Healthcare Cooperative $3,520 - $3,990 631%
Trilogy Health Solutions $3,520 - $3,990 631%
Wps Health Plan $3,567 - $4,225 639%
Advocate Aurora Healthcare $3,614 647%
Blue Cross Blue Shield $3,661 - $4,459 656%
Centivo $3,661 656%
Health Partners $3,661 - $4,131 656%
Employer Health Care Alliance Cooperative $3,685 660%
Dean Health Plan $3,755 673%
Group Health Cooperative Of Eau Claire $3,755 673%
Oan Llc $3,755 673%
Security Health Plan $3,896 698%
Health Payment Systems $3,971 711%
Praire States $3,990 715%
Quartz Health Insurance $3,990 715%
Sheboygan Employer'S Health Network $3,990 715%
Mayo Clinic Health Solutions $4,084 732%
Aetna $4,131 - $4,178 740%
Bellin Thedacare $4,225 757%
Cigna $4,225 757%
Group Health Cooperative Of South Central Wisconsin $4,225 757%
Prevea Health Network $4,225 757%
Multiplan $4,272 - $4,459 765%
Coventry Health Care $4,459 799%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens