CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Loma Linda University Children's Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,089
Cash Discount Price: $2,042
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Loma Linda University Children's Hospital is $1,089. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,042. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.95x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$2,042

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,089

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: $2,042 (366%)

Insurance Median: $1,089 (195%)

Cash: $2,042 (366% of Medicare)

Ins. Median: $1,089 (195% 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.

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
Inland Empire Health Plan (Iehp)	$403 - $697	72%
Kaiser Foundation Hospitals	$456 - $3,026	82%
Alpha Care Medical Group	$697 - $1,045	125%
Dignity Health	$697 - $1,045	125%
Epic Health Plan	$697 - $1,815	125%
Upland Medical Group	$697	125%
Vantage Medical Group	$697 - $1,045	125%
UnitedHealthcare	$762 - $982	136%
Molina Healthcare Of Ca	$878 - $934	157%
Adventist Health	$907	162%
Lluh Dept Of Risk Management	$1,089	195%
Heritage Provider Network	$1,143	205%
Blue Shield Of California	$1,833 - $2,777	328%
Global Benefits Group	$2,722	488%
Temecula Valley Physicians Medical Group	$2,722	488%
Trivalley Medical Group	$2,722	488%
Blue Cross Blue Shield	$2,786	499%
Cigna	$2,904 - $3,357	520%
Networks By Design	$2,949	528%
Aetna	$2,976	533%
Multiplan	$3,630	650%
Galaxy Health	$3,856	691%
Prime Health Services	$3,856	691%

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 $2,042.
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 Loma Linda University Children's 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.