CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Adventist Health St Helena

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $775
Cash Discount Price: $206
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Adventist Health St Helena is $775. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.39x the Medicare baseline. Located in 10 Woodland Road, Saint Helena, CA.

Cash / Self-Pay

$206

Average discount available for prompt cash payment at this facility.

Insurance Median

$775

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: $206 (37%)

Insurance Median: $775 (139%)

Cash: $206 (37% of Medicare)

Ins. Median: $775 (139% 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.

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
Blue Shield Bh Mcr Adv	$75 - $726	13%
Blue Shield Mcr Adv	$75 - $726	13%
Kaiser Mcr Adv	$75 - $726	13%
Tricare	$75 - $726	13%
Ah Employee Health Plan - All Plans	$83 - $1,307	15%
Cigna	$90 - $5,346	16%
Interplan-All Plans	$91 - $4,343	16%
Kaiser-All Other Plans	$91 - $5,346	16%
Western Growers-All Plans	$108 - $3,876	19%
Blue Shield Epn-All Other Plans	$112 - $3,147	20%
Blue Shield Non-Epn	$119 - $3,100	21%
Phcs-All Plans	$164 - $3,675	29%
Blue Cross Blue Shield	$180 - $2,573	32%
Medi-Cal	$240	43%
Health Management Network-All Plans	$253 - $5,680	45%
UnitedHealthcare	$267 - $4,260	48%
Three Rivers-All Plans	$268 - $6,014	48%
Aetna	$308 - $1,109	55%
Va Medi-Cal	$344	62%
Blue Shield Behav Hlth	$617 - $3,007	111%
Va Mcr - All Other Plans	$726	130%
Healthnet-All Plans	$841 - $4,097	151%
Choicecare-All Plans	$960 - $4,677	172%
Beech Street-All Plans	$1,028 - $5,012	184%
Galaxy Network-All Plans	$1,234 - $6,014	221%

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 $206.
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 Adventist Health St Helena 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.