CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Maimonides Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $108
Cash Discount Price: $555
vs. Medicare Baseline: 0.19x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Maimonides Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $555. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.19x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.

Cash / Self-Pay

$555

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $555 (99%)

Insurance Median: $108 (19%)

Cash: $555 (99% of Medicare)

Ins. Median: $108 (19% 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
Cigna	$20 - $389	4%
Fidelis	$20 - $332	4%
Aetna	$21 - $682	4%
Oxford Liberty	$21 - $305	4%
Emblem Health - Hip	$22 - $287	4%
Healthfirst	$22 - $668	4%
UnitedHealthcare	$22 - $413	4%
Blue Cross Blue Shield	$27 - $708	5%
Metroplus	$33 - $818	6%
Elderplan	$38 - $331	7%
Villagecare Maxx Fida	$38 - $224	7%
United Community Plan	$43 - $750	8%
Magnacare	$44 - $298	8%
Local 1199	$46 - $332	8%
Centers Plan For Healthy Living	$47 - $331	8%
Emblem Health - Ghi	$53 - $2,074	9%
Molina	$56 - $480	10%
Oxford Health Plan	$56 - $361	10%
Visiting Nurse Svc Of Ny	$56 - $196	10%
Emblem Health - Hip Vip	$57 - $74	10%
Wellcare	$57 - $226	10%
Healthfirst Early Start	$58 - $177	10%
Hamaspik	$61 - $115	11%
Centivo	$72 - $389	13%
Elderserve Health	$84 - $134	15%

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 $555.
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 Maimonides 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.