CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Wentworth-Douglass Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,653
Cash Discount Price: $1,949
vs. Medicare Baseline: 2.96x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Wentworth-Douglass Hospital is $1,653. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,949. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.96x the Medicare baseline. Located in 789 Central Ave, Dover, NH.

Cash / Self-Pay

$1,949

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,653

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: $1,949 (349%)

Insurance Median: $1,653 (296%)

Cash: $1,949 (349% of Medicare)

Ins. Median: $1,653 (296% 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 296% of the Medicare baseline (a markup of 196%). 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
Generic Commercial [1009]	$378 - $469	68%
Wellsense Nh [1050]	$378 - $573	68%
Blue Cross Blue Shield	$561 - $3,661	100%
Champva [160001]	$573	103%
Harvard Pilgrim [120001]	$573 - $2,363	103%
Martin's Point [160007]	$573	103%
Medicare (plans)	$573	103%
Tricare	$573	103%
UnitedHealthcare	$573 - $2,515	103%
Humana	$590	106%
Mgb Health Plan [150001]	$1,729 - $2,044	310%
Cigna	$1,849	331%
Aetna	$2,268	406%
Coventry First Health [1021]	$2,268	406%
Harvard Pilgrim Alternate [120002]	$2,363	423%
PHCS Multiplan [1022]	$2,762	495%
Wellpoint [1015]	$2,959	530%

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 $1,949.
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 Wentworth-Douglass 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.