CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Adventist Health Vallejo

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $672
Cash Discount Price: $206
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Adventist Health Vallejo is $672. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.20x the Medicare baseline. Located in 525 Oregon St, Vallejo, CA.

Cash / Self-Pay

$206

Average discount available for prompt cash payment at this facility.

Insurance Median

$672

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: $206 (37%)

Insurance Median: $672 (120%)

Cash: $206 (37% of Medicare)

Ins. Median: $672 (120% 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
Blue Shield Mcr Adv	$67 - $548	12%
Medicare (plans)	$67 - $548	12%
Napa County Mcal Child	$67 - $548	12%
Tricare	$67 - $548	12%
Blue Shield Epn	$73 - $3,147	13%
Blue Shield Non-Epn-All Other Plans	$73 - $3,100	13%
Ah Employee Health Plan-All Plans	$74 - $987	13%
Interplan-All Plans	$80 - $4,343	14%
Kaiser-All Plans	$80 - $5,479	14%
Cigna	$90 - $5,346	16%
UnitedHealthcare	$91 - $4,260	16%
Western Growers-All Plans	$96 - $3,876	17%
Aetna	$110 - $1,109	20%
Phcs-All Plans	$164 - $3,675	29%
Blue Cross Blue Shield	$180 - $2,573	32%
Medi-Cal	$240 - $344	43%
Health Management Network-All Plans	$253 - $5,680	45%
Three Rivers-All Plans	$268 - $6,014	48%
Va Medi-Cal	$344	62%
Va Mcr-All Other Plans	$548	98%
Blue Shield Behav Hlth	$617 - $3,007	111%
Healthnet-All Plans	$841 - $4,097	151%
Choicecare-All Plans	$960 - $4,677	172%
Beech Street-All Plans	$1,028 - $5,012	184%
Galaxy Network-All Plans	$1,234 - $6,014	221%

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 $206.
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 Vallejo 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.