CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: City of Hope National Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,297
Cash Discount Price: $3,282
vs. Medicare Baseline: 4.11x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at City of Hope National Medical Center is $2,297. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,282. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.11x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$3,282

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,297

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: $3,282 (588%)

Insurance Median: $2,297 (411%)

Cash: $3,282 (588% of Medicare)

Ins. Median: $2,297 (411% 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 411% of the Medicare baseline (a markup of 311%). 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	$114 - $2,297	20%
Health Net	$124 - $3,846	22%
Cal Optima	$146 - $234	26%
Heritage Provider Network	$182 - $2,297	33%
Inland Empire	$182 - $2,626	33%
Prime Healthcare Keenan	$255 - $3,151	46%
UnitedHealthcare	$1,838	329%
Blue Shield	$1,943 - $3,912	348%
Blue Shield Covca	$1,995	357%
Blue Shield Promise	$2,297	411%
Cencal	$2,626	470%
La Care Health	$2,626	470%
Kaiser	$2,954	529%
Aetna	$3,282	588%
Gold Coast	$3,282	588%
Molina	$3,282 - $4,267	588%
Cigna	$3,525	631%
Facey	$3,610	647%
Healthcare Partners	$3,807	682%
St. Joseph Heritage	$3,938	705%
Primecare Medical Network	$4,267	764%
First Health	$5,054	905%
Phcs Multiplan	$5,908	1058%

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 $3,282.
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 City of Hope National Medical Center 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.