CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Good Samaritan Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,642
Cash Discount Price: $10,547
vs. Medicare Baseline: 6.52x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Good Samaritan Hospital is $3,642. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,547. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 6.52x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.

Cash / Self-Pay

$10,547

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,642

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: $10,547 (1889%)

Insurance Median: $3,642 (652%)

Cash: $10,547 (1889% of Medicare)

Ins. Median: $3,642 (652% 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 652% of the Medicare baseline (a markup of 552%). 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
Physicians Medical Group	$177	32%
Blue Cross Blue Shield	$195	35%
Medcare Partners	$683 - $2,481	122%
Santa Clara Family Health Plan	$865 - $3,143	155%
Bright Health	$915 - $3,325	164%
Cigna	$1,058 - $13,233	190%
Health Net	$1,061 - $3,854	190%
United	$1,161 - $4,218	208%
Blue Shield	$1,350 - $4,906	242%
Santa Clara Ipa Comm	$2,276 - $8,270	408%
Santa Clara Ipa Mcr	$2,276 - $8,270	408%
Nx Health Network	$2,732 - $9,924	489%
Sutter Select	$2,732 - $9,924	489%
Multiplan	$2,959 - $13,233	530%
Humana	$3,187 - $11,579	571%
First Health	$3,460 - $16,541	620%
Healthsmart	$3,642 - $14,060	652%
Intercontinental Corporation	$3,642 - $13,233	652%
Pha Pacific Health Alliance	$3,642 - $13,233	652%
Ppo Next	$3,642 - $13,233	652%

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 $10,547.
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 Good Samaritan 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.