CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Sonoma Valley Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $4,102
  • Cash Discount Price: $4,397
  • vs. Medicare Baseline: 7.35x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Sonoma Valley Hospital is $4,102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,397. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 7.35x the Medicare baseline. Located in 347 Andrieux St, Sonoma, CA.
Cash / Self-Pay
$4,397

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,102

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: $4,397 (788%)
Insurance Median: $4,102 (735%)
Cash: $4,397 (788% of Medicare)
Ins. Median: $4,102 (735% 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 735% of the Medicare baseline (a markup of 635%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Medi-Cal $344 62%
Mcal Mgd Care (Php)-All Plans $567 102%
Tricare $736 132%
Blue Cross Blue Shield $751 - $4,122 135%
Bright Hlth/Brand New Day Mcr Adv $751 135%
Hospice Of Marin-All Plans $751 135%
St Joseph Heritage Hltcare Comm-All Other Plans $751 135%
Veterans Admin-All Plans $751 135%
Marin General Comm/Mcr Adv (Western Hlth)-All Plan $789 141%
Cdcr Prison-All Plans $902 162%
Three Rivers (Trpn)-All Plans $902 162%
UnitedHealthcare $934 167%
Chp - Correctional Health Partners - All Plans $977 175%
Comm Care Network(Ccn)-All Plans $1,000 179%
Bright Hlth/Brand New Day - All Other Plands $1,014 182%
Wellpath - All Plans $1,052 188%
Partnership Healthplan-All Plans $1,204 216%
Canopy Bay Area Accountable Care Ntwrk (Baacn) - A $1,352 242%
Canopy Health Solutions-All Other Plans $1,352 242%
Healthnet Hmo/Ppo-All Other Plans $2,450 439%
Blue Shield Ppo-All Plans $3,568 639%
Kaiser-All Plans $4,083 731%
Aetna $4,397 788%
First Health(Coventry)-All Plans $4,397 788%
Integrated Health Plan-All Plans $4,649 833%
Champus-All Plans $5,026 900%
Cigna $5,026 900%
Networks By Design - All Plans $5,026 900%
Great West-One Health Plan Ppo/Pos-All Plans $5,340 957%
Phcs/Multiplan/Beech St-All Plans $5,340 957%
Interplan-All Plans $5,500 985%
Bps-All Plans $5,654 1013%
Ppo Alliance-All Plans $5,654 1013%
Pref Health Networl(Phn)-All Plans $5,654 1013%
Meritage Medical Network Op Only Mcare $6,282 1125%
Scan Mcare-All Plans $6,282 1125%
St Joseph Heritage Hltcare Mcr Adv $6,282 1125%
Correct Care Integ Health-All Plans $7,538 1350%
Employer Direct Healthcare-All Plans $7,538 1350%
Meritage Medical Network Op Only-All Other Plans $7,915 1418%
Creative Legal Services-All Plans $8,167 1463%
Canopy Op Only $11,308 2026%
Vnpn - All Plans $11,308 2026%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 347 Andrieux St, Sonoma, CA 95476
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals