CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Southcoast Hospitals Group

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $740
Cash Discount Price: $779
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Southcoast Hospitals Group is $740. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $779. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.33x the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$779

Average discount available for prompt cash payment at this facility.

Insurance Median

$740

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: $779 (140%)

Insurance Median: $740 (133%)

Cash: $779 (140% of Medicare)

Ins. Median: $740 (133% 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
Wellsense Health Plan [1010202]	$224	40%
Tufts Health Public Plans [1010213]	$258 - $412	46%
Wellsense Health Plan Clarity Connectorcare & Meta	$314 - $352	56%
Medicare (plans)	$362 - $781	65%
Tufts [1010701]	$615 - $688	110%
Wellpoint [1000102]	$622	111%
Aetna	$651 - $1,252	117%
Blue Cross Blue Shield	$651 - $959	117%
Evercare [1010304]	$651	117%
Tufts Senior Care Options [1010315]	$651	117%
UnitedHealthcare	$651 - $1,155	117%
Wellsense Health Plan Senior Care Options [1020208	$658	118%
Commonwealth Care Alliance [1080501]	$671 - $677	120%
Eternal Health [1010322]	$716	128%
Mass General Brigham Health Plan Commercial [10122	$829 - $927	148%
Mass General Brigham Health Plan Connectorcare [10	$829 - $927	148%
Group Insurance Service Center [1013001]	$883 - $987	158%
Innovative Health Plan [1025001]	$883 - $987	158%
Priority Health [1015001]	$883 - $987	158%
Fallon [1000114]	$912	163%
Harvard Pilgrim [1010602]	$944	169%
PHCS [1000125]	$956 - $1,069	171%
Cigna	$968 - $1,082	173%
First Health [1000130]	$1,119 - $1,252	200%

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 $779.
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 Southcoast Hospitals Group 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.