CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Adventist Health Simi Valley

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $703
  • Cash Discount Price: $527
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Adventist Health Simi Valley is $703. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $527. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.26x the Medicare baseline. Located in 2975 N Sycamore Dr, Simi Valley, CA.
Cash / Self-Pay
$527

Average discount available for prompt cash payment at this facility.

Insurance Median
$703

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: $527 (94%)
Insurance Median: $703 (126%)
Cash: $527 (94% of Medicare)
Ins. Median: $703 (126% 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.

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
Ehn - All Plans $89 - $1,886 16%
Vchcp - All Plans $119 - $2,514 21%
Hpn Senior Hmo $124 - $2,422 22%
Blue Shield - All Other Plans $137 - $2,885 25%
Kaiser - All Plans $149 - $3,143 27%
Hpn - All Other Plans $150 - $3,032 27%
Western Growers - All Plans $170 - $3,583 30%
Cigna $177 - $3,734 32%
Scan Mcr Adv - All Plans $179 - $2,500 32%
First Health - All Plans $194 - $4,086 35%
Phcs Ppo - All Plans $194 - $4,086 35%
Aetna $205 - $4,331 37%
Beech Street Ppo - All Plans $224 - $4,714 40%
Choicecare Ppo - All Plans $224 - $4,714 40%
Health Net - All Plans $225 - $4,739 40%
Corvel Corp - All Plans $238 - $5,029 43%
Interplan Ppo - All Plans $238 - $5,029 43%
Multiplan Ppo - All Plans $247 - $5,217 44%
Ahf - All Plans $253 - $5,343 45%
Hmn Ppo/Epo - All Plans $253 - $5,343 45%
Trpn Ppo - All Plans $253 - $5,343 45%
Fpn Ppo - All Plans $268 - $5,657 48%
Gold Coast Mcal - All Plans $298 - $423 53%
UnitedHealthcare $357 - $703 64%
Blue Shield Mcare $703 126%
Facey Medical Mdcare $703 126%
Medicare (plans) $703 126%
Tricare $703 126%
Facey Medical Hmo/Pos - All Other Plans $843 151%
Ah Employee Health Plan - All Plans $1,265 227%
Centivo - All Plans $1,581 283%
Bc Exchange $1,839 329%
Bc Non Mcs $2,043 366%
Bc Mcs - All Other Plans $2,452 439%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2975 N Sycamore Dr, Simi Valley, CA 93065
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals