CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Grossmont Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,310
Cash Discount Price: $4,309
vs. Medicare Baseline: 5.93x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Grossmont Hospital is $3,310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,309. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.93x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$4,309

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,310

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: $4,309 (772%)

Insurance Median: $3,310 (593%)

Cash: $4,309 (772% of Medicare)

Ins. Median: $3,310 (593% 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 593% of the Medicare baseline (a markup of 493%). 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
Blue Cross Blue Shield	$33 - $4,815	6%
Cigna	$380 - $3,762	68%
Blue Shield	$903 - $4,153	162%
Health Net	$958 - $4,104	172%
Interplan	$958 - $4,213	172%
Aetna	$1,532 - $4,213	274%
Molina	$1,788 - $4,378	320%
Multiplan	$1,788 - $3,010	320%
Allianz Global Assistance	$2,627 - $4,104	471%
California Health And Wellness	$3,010 - $3,630	539%
Managed Health Network	$3,010 - $3,092	539%
UnitedHealthcare	$3,283 - $3,840	588%
Kaiser	$3,310	593%
Medicare (plans)	$3,666	657%
San Diego Pace	$3,762	674%
Community Health Group	$3,830 - $4,213	686%
Epic Americas	$4,104 - $4,635	735%
Humana	$4,213 - $5,363	755%
Indian Health Council	$4,213	755%
County Medical Services	$4,815	863%

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 $4,309.
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 Grossmont 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.