CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Francis Hospital - the Heart Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $649
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Francis Hospital - the Heart Center is $649. 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 1.16x the Medicare baseline. Located in 100 Port Washington Boulevard, Roslyn, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$649

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: $649 (116%)
Ins. Median: $649 (116% 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.

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
Affinity Health Plan $209 - $469 37%
Centerlight Healthcare $209 - $649 37%
Elderplan Inc. $209 - $649 37%
Emblem Health $209 - $1,460 37%
Fidelis Care New York $209 - $649 37%
Health First $209 - $1,460 37%
Health Plus $209 - $649 37%
Independent Health $209 - $649 37%
Medicaid / KanCare $209 37%
Mvp Health Plans $209 - $2,214 37%
Senior Whole Health $209 - $649 37%
UnitedHealthcare $209 - $1,328 37%
Zadroga $346 62%
Blue Cross Blue Shield $382 - $636 68%
Self Pay $503 90%
Aetna $649 - $2,214 116%
Centers Plan For Healthy Living $649 116%
Healthspring $649 116%
Liberty Health $649 116%
Longevity Health Plan $649 116%
Medicare (plans) $649 - $681 116%
Orthonet - Uniformed Services Family Health Plan $649 116%
Pmc $649 116%
Tricare $649 116%
Universal Healthcare $649 116%
Us Family Health Plan $649 116%
Veterans Affairs $649 116%
Humana $662 119%
Agewell New York $672 120%
Partners Health Plan $681 122%
Wellcare Health Plan Inc $714 128%
Local 1199 $1,000 179%
Surest $1,328 238%
American Plan Administrators $1,460 262%
Amerihealth Administrators $1,460 262%
Benefit Services $1,460 262%
Ghi Cbp Ny City Employee Alternate $1,460 262%
International Benefit Administrator $1,460 262%
Ultra Benefits Inc. $1,460 262%
Oscar Health $1,815 325%
Apwu $2,214 397%
Brighton $2,214 - $3,100 397%
Centivo $2,214 397%
Cigna $2,214 - $3,100 397%
Daniel H Cook $2,214 397%
Mail Handlers Benefit Plan $2,214 397%
Meritain Health $2,214 397%
Nalc $2,214 397%
Nippon Life Insurance Company Of America $2,214 397%
Salvation Army $2,214 397%
Samba $2,214 397%
Allied Wellfare Fund $3,100 555%
American Group Administrators $3,100 555%
Bakery & Confectionery Union $3,100 555%
Comprehensive Benefits Consultant $3,100 555%
Guardian Life Insurance Company Of America $3,100 555%
Maloney And Assoc $3,100 555%
Multiplan $3,100 555%
Performax $3,100 555%
Phcs $3,100 555%
Pomco $3,100 555%
Tpa Inc $3,100 555%
Unicare $3,100 555%
United Employees Health Plan $3,100 555%
Coventry $3,277 - $3,675 587%
Galaxy $3,985 714%
Three Rivers Provider Network $3,985 714%
Aither Health $4,428 793%
Alpha Care $4,428 793%
Dentaquest $4,428 793%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Port Washington Boulevard, Roslyn, NY 11576
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals