CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mainehealth Stephens Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $378
Cash Discount Price: $2,276
vs. Medicare Baseline: 0.68x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mainehealth Stephens Hospital is $378. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,276. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.68x the Medicare baseline. Located in 181 Main Street, Norway, ME.

Cash / Self-Pay

$2,276

Average discount available for prompt cash payment at this facility.

Insurance Median

$378

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: $2,276 (408%)

Insurance Median: $378 (68%)

Cash: $2,276 (408% of Medicare)

Ins. Median: $378 (68% 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	$67 - $2,080	12%
Blue Cross Blue Shield	$67 - $2,523	12%
Humana	$77 - $887	14%
UnitedHealthcare	$77 - $2,185	14%
Wellcare	$81 - $923	15%
Multiplan	$124 - $2,139	22%
Harvard Pilgrim Healthcare	$130 - $2,207	23%
Community Health Options	$137 - $2,162	25%
Cigna	$830 - $2,121	149%

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 $2,276.
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 Stephens 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.