CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Highland Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $428
Cash Discount Price: $2,325
vs. Medicare Baseline: 0.77x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Highland Hospital is $428. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,325. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.77x the Medicare baseline. Located in 1000 South Avenue, Rochester, NY.

Cash / Self-Pay

$2,325

Average discount available for prompt cash payment at this facility.

Insurance Median

$428

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: $2,325 (416%)

Insurance Median: $428 (77%)

Cash: $2,325 (416% of Medicare)

Ins. Median: $428 (77% 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	$153 - $1,215	27%
Excellus Bc/Bs [2201]	$153 - $341	27%
Medicare (plans)	$153 - $1,295	27%
Medicaid / KanCare	$157 - $469	28%
Elderplan [1316]	$180	32%
Icircle [1728]	$180	32%
Martins Point [1205]	$180 - $935	32%
Nascentia [1729]	$180	32%
UnitedHealthcare	$180 - $1,028	32%
Humana	$182 - $1,197	33%
Amerigroup (Bswny Alternate) [1720]	$209	37%
Excellus [2201]	$209	37%
Molina Healthcare [5189], Molina Healthcare [1723]	$209	37%
Fidelis [5155]	$224 - $470	40%
Highmark Bc/Bs Of Western Ny [5143]	$229 - $270	41%
Excellus Bc/Bs [2201], Bc/Bs Out Of Area [2401]	$232 - $634	42%
Mvp [2900]	$237 - $2,636	42%
Independent Health [5156]	$334 - $404	60%
Cigna	$438 - $2,918	78%
Capital District Physicians Health Plan (Cdphp) [5149]	$481 - $643	86%
Blue Cross Blue Shield	$682 - $972	122%

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 $2,325.
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 Highland 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.