CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Adventist Health Castle

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $646
Cash Discount Price: $520
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Adventist Health Castle is $646. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $520. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.16x the Medicare baseline. Located in 640 Ulukahiki St, Kailua, HI.

Cash / Self-Pay

$520

Average discount available for prompt cash payment at this facility.

Insurance Median

$646

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: $520 (93%)

Insurance Median: $646 (116%)

Cash: $520 (93% of Medicare)

Ins. Median: $646 (116% 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
Pacific Admin Ppo - All Plans	$29 - $1,221	5%
Alohacare Quest Mcaid - All Other Plans	$69 - $479	12%
Kfh Mcr Adv	$69 - $646	12%
Medicare (plans)	$69 - $646	12%
UnitedHealthcare	$69 - $133	12%
Devoted Hlth Mcr Adv - All Plans	$71 - $678	13%
Alohacare Mcr Adv Profee Only	$73	13%
Health Alliance - All Plans	$78 - $1,536	14%
Uni Health Alliance - All Plans	$86	15%
State Of Hi Nonprofit - All Plans	$156 - $3,360	28%
First Health Ppo - All Plans	$224 - $1,805	40%
Medicaid / KanCare	$238 - $1,920	43%
Ohana Health Plan - All Plans	$238 - $658	43%
Mdx Hawaii Ppo - All Plans	$259 - $1,533	46%
Hwmg/Hmaa - All Plans	$270 - $1,413	48%
Multiplan Hmn - All Plans	$283	51%
Hmsa Quest Abd	$393	70%
Hmsa Quest Non-Abd	$684	123%
Kfh - All Other Plans	$1,381 - $1,632	247%
Hmsa Hmo	$2,279	408%
Hmsa Ppo - All Other Plans	$2,279	408%

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 $520.
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 Castle 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.