Echocardiogram (heart ultrasound)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 93306 (CPT)
- CPT Billing Code: 93306
- Insurance Median: $767
- Cash Discount Price: $1,022
- vs. Medicare Baseline: 1.37x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $613 | 110% |
| Americas Choice Provider Network | $716 | 128% |
| Quiktrip Corporation | $767 | 137% |
| Usa Managed Care Organization | $767 | 137% |
| Provider Network Of America | $767 | 137% |
| Velocity | $767 | 137% |
| Multiplan-Phcs | $818 | 147% |
| Prime Health Services | $869 | 156% |
| Medincrease | $920 | 165% |
Consumer Guidance & Cost Commentary
For the Echocardiogram (heart ultrasound) at the Rehabilitation Hospital Of Overland Park, the cash price is $1,022.00, which matches the facility's cash median. This rate is 140% higher than the Medicare benchmark of $558.25, reflecting a significant markup common in commercial billing. While the facility's negotiated rates with nine different payers range from $613 to $920, these amounts often exceed the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates can sometimes be higher than the cash rate. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
The data indicates that the facility's pricing is based on specific payer contracts rather than a single average, with negotiated rates varying significantly across different insurance plans. For instance, while Blue Cross Blue Shield has a negotiated rate of $613, other networks like Prime Health Services and Medincrease have rates of $869 and $920 respectively. This variation highlights the importance of verifying your specific plan's allowed amount before scheduling, as in-network status does not guarantee the lowest possible price. To ensure you are receiving the most accurate billing, request a full itemized bill that lists every CPT code and charge, as summary bills often obscure individual costs. If you receive a balance bill for services rendered at this in-network facility, you may be protected under the No Surprises Act, which limits out-of-network billing for emergency and non-emergency care.