Echocardiogram Cost in Missouri
Tte w/doppler complete
Missouri Medicare physician rate (2026)
-6.2% vs nationalAverage of 3 localities. Office range $176.43–$189.70.
Your ZIP in Missouri
Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What this number is
The figures on this page are 2026 Medicare physician allowed amounts for a specific CPT code: the professional fee, adjusted by geographic practice-cost indices. They are not a hospital chargemaster price, not your insurer's contracted rate, and not a quote. Hospital facility fees, anesthesia, implants, imaging reads, and pathology are billed separately when they apply.
National vs Missouri
Where Missouri ranks for this CPT
CPT 93306 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $189.70 |
| metropolitan kansas city | $187.73 |
| rest of missouri | $176.43 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
Echocardiogram and how Missouri is priced
Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.
St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.
This procedure: A complete transthoracic echocardiogram is an ultrasound movie of the heart, capturing chamber sizes, pumping strength, and, in this code's complete-with-Doppler form, blood flow across each valve. It evaluates murmurs, shortness of breath, heart failure, and valve disease. A sonographer glides a probe across your chest for 30 to 45 minutes while you lie on your side; there is no radiation, no dye, and no preparation.
What Is Echocardiogram?
A complete transthoracic echocardiogram is an ultrasound movie of the heart, capturing chamber sizes, pumping strength, and, in this code's complete-with-Doppler form, blood flow across each valve. It evaluates murmurs, shortness of breath, heart failure, and valve disease. A sonographer glides a probe across your chest for 30 to 45 minutes while you lie on your side; there is no radiation, no dye, and no preparation.
What Affects the Cost
- Hospital outpatient echo labs charge dramatically more than cardiologist office-based labs for the same complete study.
- This complete-with-Doppler code prices above limited or follow-up echo codes, so the study type ordered matters.
- The interpreting cardiologist's professional fee is a separate component at facility-based labs.
- Serial echos to monitor a known valve problem repeat the full cost at each surveillance interval.
- If images are inadequate, an ultrasound-enhancing contrast agent may be used, adding a drug charge, or a transesophageal echo may follow at substantially higher cost.
Questions to Ask Before Booking
- 1.Has prior authorization been approved if my plan requires it for echo?
- 2.What is the price at your office lab versus the hospital's echo department?
- 3.Is a complete study needed, or does my follow-up qualify for the cheaper limited echo?
- 4.Is the cardiologist's reading fee included in the quote?
- 5.How often will this need repeating for my condition, and at what recurring cost?
Other featured procedures in Missouri
Echocardiogram in other states
Echocardiogram in Missouri: questions
How much does echocardiogram cost in Missouri?
The 2026 Medicare physician office rate for CPT 93306 averages $184.62 across 3 Missouri localities, from $176.43 in REST OF MISSOURI to $189.70 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $184.62. Enter a ZIP for the exact locality.
Does the rate change inside Missouri?
Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $13.27 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What will a Medicare patient owe for the physician fee?
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $37 for the office physician line or $37 for the hospital physician line in Missouri. Medigap may cover that 20%. This is not the hospital facility fee.
Is this the full echocardiogram bill in Missouri?
No. $184.62 is the Medicare physician allowed amount for CPT 93306. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #14 of 51 states on this physician line (6% below the national office rate of $196.73).