CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Childrens Hospital of Wisconsin Fox Valley

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $1,794
  • Cash Discount Price: $1,161
  • vs. Medicare Baseline: 3.21x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Childrens Hospital of Wisconsin Fox Valley is $1,794. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,161. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.21x the Medicare baseline. Located in 130 Second St, Neenah, WI.
Cash / Self-Pay
$1,161

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,794

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: $1,161 (208%)
Insurance Median: $1,794 (321%)
Cash: $1,161 (208% of Medicare)
Ins. Median: $1,794 (321% 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 321% of the Medicare baseline (a markup of 221%). 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 $1,478 - $1,794 265%
Medical College Of Wisconsin $1,478 265%
Network Health Plan $1,503 269%
UnitedHealthcare $1,551 278%
Aspirus Health Plan $1,583 284%
Common Ground Healthcare Cooperative $1,583 - $1,794 284%
Trilogy Health Solutions $1,583 - $1,794 284%
Wps Health Plan $1,604 - $1,900 287%
Advocate Aurora Healthcare $1,625 291%
Blue Cross Blue Shield $1,646 - $2,005 295%
Centivo $1,646 295%
Health Partners $1,646 - $1,857 295%
Employer Health Care Alliance Cooperative $1,657 297%
Dean Health Plan $1,689 303%
Group Health Cooperative Of Eau Claire $1,689 303%
Oan Llc $1,689 303%
Security Health Plan $1,752 314%
Health Payment Systems $1,786 320%
Praire States $1,794 321%
Quartz Health Insurance $1,794 321%
Sheboygan Employer'S Health Network $1,794 321%
America'S Ppo $1,836 329%
Aetna $1,857 - $1,879 333%
Bellin Thedacare $1,900 340%
Cigna $1,900 340%
Group Health Cooperative Of South Central Wisconsin $1,900 340%
Healthsmart $1,900 340%
Prevea Health Network $1,900 340%
Multiplan $1,921 - $2,005 344%
Coventry Health Care $2,005 359%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Second St, Neenah, WI 54956
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens