CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,158
Cash Discount Price: $2,558
vs. Medicare Baseline: 2.07x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at UMass Memorial Healthalliance Hospitals is $1,158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,558. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.07x the Medicare baseline. Located in 60 Hospital Road, Leominster, MA.

Cash / Self-Pay

$2,558

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,158

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: $2,558 (458%)

Insurance Median: $1,158 (207%)

Cash: $2,558 (458% of Medicare)

Ins. Median: $1,158 (207% 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 207% of the Medicare baseline (a markup of 107%). 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
Hsno/Free Care [10801]	$294	53%
Wellpoint [11112]	$524	94%
Champva [11001]	$586	105%
Cigna	$663 - $2,001	119%
Correctional Care [11003]	$663	119%
Institution [10406]	$663 - $1,403	119%
Medicaid / KanCare	$663 - $1,376	119%
Medicare (plans)	$663	119%
Tufts Dual [10111]	$663	119%
Tufts Us Family [11203]	$663	119%
Blue Cross Blue Shield	$685 - $920	123%
Aetna	$696 - $1,731	125%
Commonwealth Care Mcr [10115]	$696	125%
Fallon Mcr Supp [20202]	$696	125%
Harvard Pilgrim Mcr [10106]	$696	125%
Mgb Mcr [10124]	$696	125%
Tufts Mcr [10112]	$696	125%
UnitedHealthcare	$696 - $2,647	125%
Senior Whole Health [10110]	$709	127%
Workers Compensation [20501]	$812 - $870	145%
Harvard Pilgrim [10701]	$1,035 - $1,244	185%
Tufts [11201]	$1,118	200%
Tufts Connectorcare [10507]	$1,128	202%
Fallon Connectorcare [10503]	$1,227	220%
Hne [11108]	$1,377 - $1,477	247%
First Health Network [11120]	$1,852 - $1,985	332%
Multiplan [11109]	$1,852 - $1,985	332%
Connecticare [11105]	$2,469 - $2,647	442%
Fallon Carelon Hlth [28]	$2,469 - $2,647	442%
Fallon Mcaid Carelon Hlth [29]	$2,469 - $2,647	442%
Grants [20507]	$2,469 - $2,647	442%

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 $2,558.
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 UMass Memorial Healthalliance Hospitals 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.