CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Jacobi Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $433
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Jacobi Medical Center is $433. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.78x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$433

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%)

Insurance Median: $433 (78%)

Ins. Median: $433 (78% 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	$54 - $332	10%
Healthfirst	$58 - $956	10%
Amidacare	$73 - $425	13%
Emblem	$73 - $1,702	13%
Wellcare	$79 - $238	14%
Metroplus	$91 - $956	16%
Fidelis	$105 - $956	19%
Oscar	$109 - $973	20%
Blue Cross Blue Shield	$211 - $1,945	38%
Oxford	$259 - $291	46%
United	$313 - $531	56%
Carelon	$425 - $1,581	76%
Senior Whole Health	$425	76%
United Behavioral Health	$425 - $467	76%
Affinity	$433 - $956	78%
Carelon (Amida Care)	$433	78%
Vnsny	$433 - $2,067	78%
Elderplan	$649 - $1,581	116%
Vaccn	$649	116%
Centers Plan For Healthy Living	$675	121%
Centerlight	$1,216	218%
Cigna	$1,824	327%
Magnacare	$1,824	327%
Multiplan	$1,945	348%
Local 1199	$2,067	370%
Villagecare Max	$2,067	370%

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 $X.
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 Jacobi 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.