CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Rose Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,168
Cash Discount Price: $952
vs. Medicare Baseline: 2.09x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Rose Hospital is $1,168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $952. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.09x the Medicare baseline. Located in 27200 Calaroga Ave, Hayward, CA.

Cash / Self-Pay

$952

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,168

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: $952 (171%)

Insurance Median: $1,168 (209%)

Cash: $952 (171% of Medicare)

Ins. Median: $1,168 (209% 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 209% of the Medicare baseline (a markup of 109%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Cigna	$178 - $3,298	32%
Healthnet Of California	$178 - $3,078	32%
UnitedHealthcare	$178 - $1,900	32%
Aetna	$188 - $2,638	34%
Blue Cross Blue Shield	$632	113%
Centers For Elder Independence	$738	132%
Brown & Toland	$777	139%
Humana	$777	139%
Imperial Health Senior	$777	139%
Medicare (plans)	$777	139%
Interplan	$1,362 - $3,078	244%
Canopy	$1,476	264%
Multiplan Inc	$1,499 - $3,386	269%
Kaiser Foundation Hospitals	$1,557 - $3,518	279%
Preferred Health Network	$1,654 - $3,738	296%
Blue Shield	$1,942	348%
Blue Shield Affinity	$1,942	348%
Blue Shield Hill	$1,942	348%

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 $952.
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 St Rose 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.