CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Valley Presbyterian Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,193
Cash Discount Price: $2,436
vs. Medicare Baseline: 2.14x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Valley Presbyterian Hospital is $1,193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,436. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.14x the Medicare baseline. Located in 15107 Vanowen St, Van Nuys, CA.

Cash / Self-Pay

$2,436

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,193

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: $2,436 (436%)

Insurance Median: $1,193 (214%)

Cash: $2,436 (436% of Medicare)

Ins. Median: $1,193 (214% 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 214% of the Medicare baseline (a markup of 114%). 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 Shield Promise Medi-Cal	$609	109%
Blue Shield Senior	$683	122%
Aetna	$697 - $1,392	125%
Blue Cross Blue Shield	$697 - $744	125%
Health Net Senior	$697	125%
La Care Covered California	$697	125%
Medicare (plans)	$697 - $732	125%
Ambetter / Centene	$982	176%
UnitedHealthcare	$1,015 - $1,895	182%
Heritage Provider Network (Regal & Lakeside)	$1,080	193%
Cigna	$1,306	234%
Health Net	$1,377	247%
La Care Medi-Cal	$1,462	262%
Phcs	$1,462	262%
Coventry Health Care (Ccn)	$1,705	305%
Blue Shield Ifp	$1,722	308%
Beech Street	$1,827	327%
Blue Shield	$1,961	351%
Multiplan	$2,192	393%

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 $2,436.
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 Valley Presbyterian 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.