CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Summerlin Hospital Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,725
Cash Discount Price: $4,238
vs. Medicare Baseline: 3.09x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Summerlin Hospital Medical Center is $1,725. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,238. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.09x the Medicare baseline. Located in 657 Town Center Drive, Las Vegas, NV.

Cash / Self-Pay

$4,238

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,725

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: $4,238 (759%)

Insurance Median: $1,725 (309%)

Cash: $4,238 (759% of Medicare)

Ins. Median: $1,725 (309% 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 309% of the Medicare baseline (a markup of 209%). 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
Humana	$199	36%
Blue Cross Blue Shield	$204	37%
Smart_Choice	$204	37%
Silver_Summit	$208	37%
Molina	$210	38%
Prominence	$1,509 - $1,725	270%
Aetna	$1,980 - $3,338	355%
Sierra_Health_Options	$2,045	366%
Cigna	$2,342 - $3,348	420%
Sierra_Health_Plan_Of_Nevada	$3,401	609%
Multiplan	$6,146	1101%

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 $4,238.
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 Summerlin Hospital 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.