CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $696
Cash Discount Price: $2,109
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Montefiore Mount Vernon Hospital is $696. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,109. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.25x the Medicare baseline. Located in 12 North 7Th Avenue, Mount Vernon, NY.

Cash / Self-Pay

$2,109

Average discount available for prompt cash payment at this facility.

Insurance Median

$696

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: $2,109 (378%)

Insurance Median: $696 (125%)

Cash: $2,109 (378% of Medicare)

Ins. Median: $696 (125% 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
American Postal Workers	$137	25%
UnitedHealthcare	$137 - $682	25%
Emblem	$209 - $2,544	37%
Fidelis	$209 - $682	37%
Healthfirst	$209 - $682	37%
Medicaid / KanCare	$209	37%
Wellcare	$211 - $696	38%
Metroplus	$216 - $887	39%
Vnsny Choice	$240 - $682	43%
Vnsny Select Health	$240	43%
Blue Cross Blue Shield	$682 - $2,595	122%
Point Comfort	$682	122%
Villagecaremax	$682	122%
Centerlight	$703 - $750	126%
Elderplan	$703	126%
Partners Health Plan	$716	128%
Longevity	$743	133%
Humana	$750	134%
Molina Healthcare Of Ny Affinity	$941	169%
Cigna	$1,586 - $1,763	284%
Northwell	$1,930	346%
Oscar	$2,272	407%

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 $2,109.
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 Montefiore Mount Vernon 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.