CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Holyoke Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $622
Cash Discount Price: $1,094
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Holyoke Medical Center is $622. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,094. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.11x the Medicare baseline. Located in 575 Beech Street, Holyoke, MA.

Cash / Self-Pay

$1,094

Average discount available for prompt cash payment at this facility.

Insurance Median

$622

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: $1,094 (196%)

Insurance Median: $622 (111%)

Cash: $1,094 (196% of Medicare)

Ins. Median: $622 (111% 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
Bmchp	$234	42%
Fallon	$234 - $652	42%
Health New England	$234 - $592	42%
Aetna	$291 - $592	52%
Wellsense Direct Metals Silver	$293	52%
Gic Unicare	$404	72%
Blue Cross Blue Shield	$592 - $802	106%
Tufts Health Plan	$592 - $672	106%
UnitedHealthcare	$592 - $756	106%
Commonwealth Care Alliance	$622	111%
Wellsense Sco	$628	112%
Wellcare	$634	114%
Cigna	$679	122%
Senior Whole Health	$681	122%
Tufts Health Public Plans	$711	127%
Harvard Pilgrim	$756	135%

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 $1,094.
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 Holyoke Medical Center 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.