CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mainehealth Pen Bay Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $422
Cash Discount Price: $1,780
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mainehealth Pen Bay Hospital is $422. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,780. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.76x the Medicare baseline. Located in 6 Glen Cove Drive, Rockport, ME.

Cash / Self-Pay

$1,780

Average discount available for prompt cash payment at this facility.

Insurance Median

$422

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: $1,780 (319%)

Insurance Median: $422 (76%)

Cash: $1,780 (319% of Medicare)

Ins. Median: $422 (76% 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
Aetna	$66 - $1,561	12%
Blue Cross Blue Shield	$66 - $2,577	12%
Wellcare	$67 - $547	12%
Humana	$75 - $531	13%
UnitedHealthcare	$75 - $1,658	13%
Multiplan	$127 - $1,673	23%
Harvard Pilgrim Healthcare	$130 - $1,516	23%
Community Health Options	$137 - $1,411	25%
Cigna	$913 - $1,405	164%

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 $1,780.
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 Mainehealth Pen Bay 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.