CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $1,254
- Cash Discount Price: $4,775
- vs. Medicare Baseline: 2.25x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at AHMC Anaheim Regional Medical Center is $1,254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,775. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.25x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$4,775
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,254
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: $4,775 (855%)
Insurance Median: $1,254 (225%)
Cash: $4,775 (855% of Medicare)
Ins. Median: $1,254 (225% 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 225% of the Medicare baseline (a markup of 125%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Msi/Medical Services For Indigents | $52 | 9% |
| Affiliated Doctors Of Orange County | $165 | 30% |
| Talbert Medical Group | $185 - $240 | 33% |
| Private Pay Flat Rate | $211 | 38% |
| Memorial Healthcare Ipa | $220 | 39% |
| Ahmc Reciprocity Agreement | $240 - $1,549 | 43% |
| Aids Health Foundation | $240 - $692 | 43% |
| Allied Physicians | $240 - $1,054 | 43% |
| Altamed Health Network | $240 - $692 | 43% |
| Applecare Medical Group | $240 | 43% |
| Avanti | $240 - $843 | 43% |
| Beverly Hospital | $240 - $773 | 43% |
| Brand New Day | $240 - $878 | 43% |
| Emanate Health | $240 - $878 | 43% |
| Health Net | $240 | 43% |
| Health Net Inc | $240 - $3,965 | 43% |
| Healthcare Partners | $240 - $692 | 43% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $240 | 43% |
| Healthy Way La | $240 | 43% |
| Heritage Provider Network | $240 - $808 | 43% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $240 | 43% |
| Hollywood Presbyterian Medpoint Mcal | $240 | 43% |
| Kaiser Foundation Hospitals | $240 - $692 | 43% |
| Medi-Cal | $240 | 43% |
| Medical Safety Net Program | $240 | 43% |
| Non Contracted Medi-Cal | $240 | 43% |
| Caloptima | $300 - $692 | 54% |
| Monarch Health Plan | $336 - $3,506 | 60% |
| Prospect Health Plan | $336 - $949 | 60% |
| Netcare Life And Health Insurance | $465 - $1,291 | 83% |
| Monarch Healthcare Medical Group | $482 | 86% |
| Veterans Administration | $492 | 88% |
| UnitedHealthcare | $546 - $953 | 98% |
| Advance Clinical Research Institute | $558 - $1,549 | 100% |
| Prospect Medical Group | $632 | 113% |
| Alta Los Angeles Hospital | $657 | 118% |
| Tricare | $668 | 120% |
| Aetna | $692 - $821 | 124% |
| Alignment Health Plan | $692 | 124% |
| Apa Aco Inc | $692 | 124% |
| Blue Cross Blue Shield | $692 - $1,245 | 124% |
| Blue Shield Of California | $692 - $4,079 | 124% |
| California Health Plan | $692 | 124% |
| Central Health Of California | $692 | 124% |
| Davita Heatlhcare Partners Plan Inc | $692 - $2,788 | 124% |
| Healthnet | $692 | 124% |
| Humana | $692 | 124% |
| Medicare (plans) | $692 - $2,582 | 124% |
| Pacificare | $692 | 124% |
| Scan Health Plan | $692 | 124% |
| Seoul Medical Group | $692 - $703 | 124% |
| Wellcare | $692 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $703 | 126% |
| Innovative Integrated Health (Iih)/Orange County Pace | $703 | 126% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $703 | 126% |
| Self-Pay | $703 | 126% |
| Nchp | $726 | 130% |
| Align Senior Care | $733 | 131% |
| Medical Acquisition Company | $744 - $2,065 | 133% |
| Angels Baseball Workers Comp | $801 | 143% |
| Athens Administrators | $801 | 143% |
| Capp Care | $801 - $3,872 | 143% |
| Cigna | $801 - $2,633 | 143% |
| Corvel | $801 - $3,872 | 143% |
| First Health | $801 - $4,130 | 143% |
| Interplan | $801 - $3,614 | 143% |
| Marriot Intl | $801 | 143% |
| Non Contracted Workers Comp | $801 | 143% |
| Orange County Preferred Provider Organization | $801 - $3,872 | 143% |
| Ahmc Health Self-Insurance Epo | $878 | 157% |
| Knox-Keene Act | $878 | 157% |
| Healthcare Partners Commercial | $1,004 - $2,788 | 180% |
| Huntington Memorial Hospital | $1,004 - $2,788 | 180% |
| Genesis Healthcare Ipa Ancillary | $1,116 - $1,200 | 200% |
| Affiliated Health Fund | $1,302 - $3,614 | 233% |
| Allnet Preferred Provider | $1,302 - $3,614 | 233% |
| Care First | $1,302 - $2,600 | 233% |
| Private Healthcare Systems | $1,302 - $3,614 | 233% |
| Choicecare | $1,395 - $3,000 | 250% |
| Multiplan Inc | $1,395 - $3,872 | 250% |
| National Provider Network | $1,488 - $4,130 | 267% |
| Three Rivers Providers Network | $1,488 - $4,130 | 267% |
| Health Payors Organization | $1,674 - $4,647 | 300% |
| Non Contracted Commercial | $1,860 - $5,163 | 333% |