CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Massachusetts General Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,223
Cash Discount Price: $2,395
vs. Medicare Baseline: 2.19x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Massachusetts General Hospital is $1,223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,395. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.19x the Medicare baseline. Located in 55 Fruit Street, Boston, MA.

Cash / Self-Pay

$2,395

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,223

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: $2,395 (429%)

Insurance Median: $1,223 (219%)

Cash: $2,395 (429% of Medicare)

Ins. Median: $1,223 (219% 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 219% of the Medicare baseline (a markup of 119%). 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
Champva [160001]	$619	111%
Tricare	$619	111%
Molina [1014]	$638	114%
Tufts Health Plan [170001]	$638	114%
UnitedHealthcare	$638 - $2,609	114%
Blue Cross Blue Shield	$651 - $1,669	117%
Commonwealth Care Alliance [1007]	$651	117%
Elder Services [1037]	$651	117%
Fallon Health [1008]	$651	117%
Humana	$651	117%
Martin'S Point [160007]	$651	117%
Medicare (plans)	$651	117%
Mgb Health Plan [150001]	$651 - $1,223	117%
Wellsense Nh [1050]	$651	117%
Wellsense [1003]	$651	117%
Aetna	$671 - $2,567	120%
Centers Of Excellence [1026]	$814 - $2,293	146%
Cigna	$1,702 - $2,538	305%
International Commercial [140001]	$2,075 - $2,609	372%
Health New England [1034]	$2,459	440%
Phcs Multiplan [1022]	$2,459	440%

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 $2,395.
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 Massachusetts General 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.