CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Valley Children's Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $2,865
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.13x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Valley Children's Hospital is $2,865. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.13x the Medicare baseline. Located in 9300 Valley Childrens Place, Madera, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,865

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%)
Insurance Median: $2,865 (513%)
Ins. Median: $2,865 (513% 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 513% of the Medicare baseline (a markup of 413%). 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
Allcare Ipa $240 43%
Community Care Ipa $240 - $379 43%
Dignity Ipa_Formerly Img $336 60%
La Salle Ipa $336 60%
Sante Ipa $336 60%
Kaiser $348 - $3,518 62%
Central Valley Medical Providers Ipa $360 - $2,706 64%
Sequoia Health Ipa $360 64%
Univseral Healthcare Ipa $360 64%
United Physicians Network Ipa $372 67%
Adventist $423 76%
Blue Cross Blue Shield $434 - $3,073 78%
Cencal Health $474 85%
Kern Family Health Care $479 86%
Central California Alliance For Health $488 87%
Health Net $1,904 - $3,544 341%
Dignity Health Central Coast $2,682 480%
UnitedHealthcare $2,753 493%
Community Health $2,977 533%
Stanislaus Partners In Health $2,977 533%
Physicians Choice Medical Group $3,031 543%
Health Plan Of San Joaquin $3,247 582%
Fowler Packing $3,355 601%
Dignity (Formerly Managed Care Systems) $3,410 611%
Kern Legacy $3,518 630%
Blue Shield $3,615 - $4,106 648%
Aetna $3,626 650%
First Health Formerly Coventry $4,005 717%
Bakersfield Family Medical Group $4,059 727%
Network By Design $4,194 751%
Community Care Health Plan $4,328 775%
Health Smart $4,330 776%
Key Medical Ipa $4,330 776%
Sutter Health $4,600 824%
Multiplan $5,178 928%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens