CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,481
Cash Discount Price: $5,914
vs. Medicare Baseline: 4.44x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at HCA Healthone Presbyterian St Luke's is $2,481. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,914. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.44x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.

Cash / Self-Pay

$5,914

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,481

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: $5,914 (1059%)

Insurance Median: $2,481 (444%)

Cash: $5,914 (1059% of Medicare)

Ins. Median: $2,481 (444% 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 444% of the Medicare baseline (a markup of 344%). 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
Pinnacol Workers Comp	$849	152%
Multiplan	$885 - $5,323	159%
Vail Health	$899	161%
Kaiser	$1,183 - $1,538	212%
United	$1,224 - $2,661	219%
Cigna	$1,502 - $3,785	269%
Aetna	$1,774	318%
Bright Health	$1,774	318%
Emerging Therapy Solutions	$2,839 - $3,785	509%
Kaiser National Transplant	$2,839	509%
Colorado Program For Children With Special Needs	$3,016	540%
Northcare	$4,140	742%
Physician Health Partners	$4,140	742%
Blue Cross Blue Shield	$4,377	784%
Medical Development International	$4,731	847%
Prime Health	$5,323	954%

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 $5,914.
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 HCA Healthone Presbyterian St Luke's 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.