CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Adventist Health Clearlake

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,148
Cash Discount Price: $1,476
vs. Medicare Baseline: 5.64x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Adventist Health Clearlake is $3,148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,476. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.64x the Medicare baseline. Located in 15630 18Th Ave - Hwy 53, Clearlake, CA.

Cash / Self-Pay

$1,476

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,148

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: $1,476 (264%)

Insurance Median: $3,148 (564%)

Cash: $1,476 (264% of Medicare)

Ins. Median: $3,148 (564% 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 564% of the Medicare baseline (a markup of 464%). 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
Bc Managed Mcal	$344	62%
Medi-Cal	$344	62%
Blue Shield Mcr Adv	$861	154%
Kaiser Mcr Adv	$861	154%
Tricare	$861	154%
Blue Cross Blue Shield	$895 - $2,604	160%
UnitedHealthcare	$947 - $3,419	170%
Ah Employee Health Plan - All Plans	$1,722	308%
Aetna	$3,063	549%
Western Growers- All Plans	$3,074	551%
Blue Shield Epn - All Other Plans	$3,148	564%
Blue Shield Non-Epn	$3,148	564%
First Health- All Plans	$3,279	587%
Healthnet- All Plans	$3,361	602%
Foundation- All Plans	$3,484	624%
Health Mgmt Network- All Plans	$3,484	624%
Humana	$3,484	624%
Phcs- All Plans	$3,484	624%
Cigna	$3,689	661%
Interplan- All Plans	$3,689	661%
Kaiser- All Other Plans	$3,689	661%
Three Rivers Provider Network- All Plans	$3,689	661%
Partnership Mcal - All Plans	$6,763	1211%

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 $1,476.
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 Adventist Health Clearlake 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.