CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $304
Cash Discount Price: $1,976
vs. Medicare Baseline: 0.54x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Samuel Mahelona Memorial Hospital is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,976. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.54x the Medicare baseline. Located in 4800 Kawaihau Road, Kapaa, HI.

Cash / Self-Pay

$1,976

Average discount available for prompt cash payment at this facility.

Insurance Median

$304

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: $1,976 (354%)

Insurance Median: $304 (54%)

Cash: $1,976 (354% of Medicare)

Ins. Median: $304 (54% 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
UnitedHealthcare	$133 - $1,520	24%
Hawaii Medical Service Association	$133 - $1,520	24%
Kaiser Permanente	$181 - $2,736	32%
Alohacare	$216 - $1,520	39%
Ohana Health Plan	$216 - $1,520	39%
Devoted Health	$237 - $1,672	42%
Hawaii Western Management Group	$270 - $2,888	48%
Health Management Network	$694 - $2,584	124%
Humana	$1,520	272%
University Health Alliance	$1,702	305%
Mdx Hawaii	$2,949	528%

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 $1,976.
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 Samuel Mahelona Memorial Hospital 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.