CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Garnet Health Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $689
Cash Discount Price: $842
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Garnet Health Medical Center is $689. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $842. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.23x the Medicare baseline. Located in 707 East Main Street, Middletown, NY.

Cash / Self-Pay

$842

Average discount available for prompt cash payment at this facility.

Insurance Median

$689

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: $842 (151%)

Insurance Median: $689 (123%)

Cash: $842 (151% of Medicare)

Ins. Median: $689 (123% 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
Magnacare	$359 - $574	64%
Aetna	$537 - $682	96%
Local 1199	$537	96%
Emblem Health	$662	119%
Mvp	$674	121%
Fidelis	$696	125%
Wellcare	$698	125%
Blue Cross Blue Shield	$965 - $1,412	173%
Rojw	$1,194	214%
Northwell Direct	$1,398	250%
Geisinger Health Plan	$1,705	305%

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 $842.
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 Garnet Health 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.