CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Garrett Regional Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $962
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.72x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Garrett Regional Medical Center is $962. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.72x the Medicare baseline. Located in 251 North Fourth Street, Oakland, MD.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$962

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%)

Insurance Median: $962 (172%)

Ins. Median: $962 (172% 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
Caresource Wv	$918	164%
Aetna	$941 - $1,020	169%
Carefirst D-Snp	$941	169%
Carefirst Ppo	$941	169%
Humana	$941	169%
Medicare (plans)	$941	169%
Provider Partners	$941	169%
Senior Advantage	$941	169%
United Mine Workers Of America	$941 - $1,020	169%
UnitedHealthcare	$941 - $1,020	169%
Amerigroup	$962	172%
Carefirst Community Health Plan	$962	172%
Coventry	$962	172%
Highmark Health Options Wv	$962	172%
Maryland Physicians Care	$962	172%
The Health Plan Of Wv	$962	172%
Wellpoint Wv	$962	172%
Multiplan	$969	174%
Upmc Commercial	$1,010	181%
Alliance Coal	$1,020	183%
American Correctional Healthcare	$1,020	183%
Carefirst Commercial	$1,020	183%
Cigna	$1,020	183%
First Health	$1,020	183%
John Hopkins Healthcare	$1,020	183%
Peak Commercial	$1,020	183%
Stratose/ 4 Most	$1,020	183%
The Health Plan	$1,020	183%
The Health Plan Commercial	$1,020	183%

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 $X.
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 Garrett Regional 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.