CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $693
  • Cash Discount Price: $1,693
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mt Sinai Hospital Medical Center is $693. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,693. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.24x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$1,693

Average discount available for prompt cash payment at this facility.

Insurance Median
$693

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: $1,693 (303%)
Insurance Median: $693 (124%)
Cash: $1,693 (303% of Medicare)
Ins. Median: $693 (124% 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.

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
Partners In Hlth - All Plans $58 - $1,343 10%
Blue Cross Blue Shield $64 - $2,135 11%
Compsych Ip/Op Only - All Plans $86 - $2,015 15%
Healthlink Hmo $93 - $2,183 17%
Hfn Platinum $93 - $2,183 17%
Healthlink Ppo - All Other Plans $101 - $2,351 18%
Multiplan Primary Ntwrk/Phcs - All Other Plans $101 - $2,351 18%
Hfn Epo $115 - $2,687 21%
Multiplan Complementary Ntwrk $115 - $2,687 21%
Hfn Ppo - All Other Plans $127 - $2,956 23%
Ambetter / Centene $151 - $3,526 27%
Oscar - All Plans $158 - $3,694 28%
Cigna $178 - $4,151 32%
Aetna $325 - $7,590 58%
Humana $451 - $10,546 81%
Tricare $568 102%
Va Healthnet - All Plans $568 102%
Advocate Physician Prtnrs Mcr $586 105%
Cenpatico Illinicare Dual $586 105%
Cenpatico Illinicare Mcr - All Other Plans $586 105%
Lawndale Christian - All Plans $586 105%
Meridian/Harmony D-Snp - All Plans $586 105%
Nextlevel Hlth Icp Fhp Aca - All Plans $586 105%
UnitedHealthcare $586 - $624 105%
Harmony Behavioral Htlh - All Plans $603 108%
Zing Mcr Adv - All Plans $609 109%
Molina Mcr - All Other Plans $615 110%
Advocate Physician Prtnrs - All Other Plans $644 115%
Family Health Network Mcaid - All Plans $693 124%
Molina Mcaid $727 130%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals