CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Glens Falls Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $274
Cash Discount Price: $716
vs. Medicare Baseline: 0.49x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Glens Falls Hospital is $274. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $716. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.49x the Medicare baseline. Located in 100 Park Street, Glens Falls, NY.

Cash / Self-Pay

$716

Average discount available for prompt cash payment at this facility.

Insurance Median

$274

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: $716 (128%)

Insurance Median: $274 (49%)

Cash: $716 (128% of Medicare)

Ins. Median: $274 (49% 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	$64 - $1,177	11%
Cdphp	$123 - $907	22%
Medicare (plans)	$135 - $180	24%
UnitedHealthcare	$135 - $1,334	24%
Emblem Health Ghi	$153 - $180	27%
Tricare	$171 - $180	31%
Blue Cross Blue Shield	$180 - $1,020	32%
Fidelis	$180 - $941	32%
Mvp	$183 - $846	33%
Blue Shield	$207 - $581	37%
Medicaid / KanCare	$214	38%
Blue Shield Highmark	$262 - $575	47%
Cigna	$286 - $345	51%
Mvp Commercial	$458 - $1,294	82%
Nascentia Health Options	$887 - $1,020	159%
Magnacare	$1,023 - $1,177	183%
Emblem	$1,091 - $1,255	195%
Empire Plan Nyship	$1,159 - $1,334	208%
Multiplan	$1,159 - $1,334	208%
Hamaspik	$4,766	854%

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 $716.
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 Glens Falls 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.