CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Berkshire Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,591
Cash Discount Price: $2,093
vs. Medicare Baseline: 2.85x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Berkshire Medical Center is $1,591. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,093. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.85x the Medicare baseline. Located in 725 North Street, Pittsfield, MA.

Cash / Self-Pay

$2,093

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,591

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: $2,093 (375%)

Insurance Median: $1,591 (285%)

Cash: $2,093 (375% of Medicare)

Ins. Median: $1,591 (285% 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 285% of the Medicare baseline (a markup of 185%). 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
Cdphp	$153 - $2,340	27%
Health New England	$153 - $1,898	27%
Mcd Out Of State	$153 - $209	27%
Medicaid / KanCare	$153 - $209	27%
Comm Tufts Qhpsub (Network)	$168 - $1,469	30%
Point32Health	$168 - $2,470	30%
Bmchnp	$176 - $272	32%
Other Government	$197 - $701	35%
Medicare (plans)	$201 - $690	36%
Hospice	$205 - $701	37%
UnitedHealthcare	$205 - $2,236	37%
Fallon	$206 - $1,144	37%
Mbhp	$209	37%
Blue Cross Blue Shield	$212 - $2,210	38%
Commcare Alliance	$212 - $828	38%
Aetna	$242 - $1,963	43%
Comm Hne Hmo	$371 - $1,793	66%
Comm Hne Ppo	$395 - $1,906	71%
Unicare	$498 - $1,686	89%
Workers Comp	$1,136 - $1,577	203%
Allways Nhp	$1,211 - $1,682	217%
Beacon	$1,591 - $2,340	285%
Cigna	$1,685 - $2,418	302%
Mvp	$1,685 - $2,340	302%
Oxford	$1,685 - $2,340	302%
First Health	$1,741 - $2,470	312%
Connecticare	$1,778 - $2,470	318%
Consolidated Health Plans	$1,778 - $2,470	318%
Other Commercial	$1,778 - $2,470	318%
Phcs	$1,778 - $2,470	318%
Self Pay	$1,778 - $2,470	318%

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 $2,093.
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 Berkshire 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.