CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Metropolitan Hospital Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $402
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Metropolitan Hospital Center is $402. 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 0.72x the Medicare baseline. Located in 1901 First Avenue, New York, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$402

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: $402 (72%)

Ins. Median: $402 (72% 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 - $649	10%
Healthfirst	$58 - $895	10%
Amidacare	$73 - $398	13%
Emblem	$73 - $1,584	13%
Wellcare	$79 - $238	14%
Metroplus	$91 - $895	16%
Fidelis	$105 - $921	19%
Oscar	$109 - $973	20%
United	$206 - $497	37%
Local 1199	$250 - $1,924	45%
Oxford	$259 - $291	46%
Blue Cross Blue Shield	$398 - $1,811	71%
Carelon	$398 - $1,471	71%
Senior Whole Health	$398	71%
United Behavioral Health	$398 - $438	71%
Affinity	$406 - $895	73%
Carelon (Amida Care)	$406	73%
Vnsny	$406 - $1,924	73%
Vaccn	$649	116%
Centers Plan For Healthy Living	$675	121%
Centerlight	$1,132	203%
Elderplan	$1,298 - $1,471	233%
Cigna	$1,698	304%
Magnacare	$1,698	304%
Multiplan	$1,811	324%
Villagecare Max	$1,924	345%

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 Metropolitan Hospital 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.