CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Harlem Hospital Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $423
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Harlem Hospital Center is $423. 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 0.76x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$423

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: $423 (76%)

Ins. Median: $423 (76% 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 - $932	10%
Amidacare	$72 - $414	13%
Emblem	$72 - $1,584	13%
Wellcare	$78 - $233	14%
Metroplus	$91 - $932	16%
Fidelis	$104 - $932	19%
Oscar	$108 - $973	19%
United	$206 - $518	37%
Local 1199	$250 - $1,924	45%
Oxford	$259 - $291	46%
Blue Cross Blue Shield	$414 - $1,811	74%
Carelon	$414 - $1,471	74%
Senior Whole Health	$414	74%
United Behavioral Health	$414 - $456	74%
Affinity	$423 - $932	76%
Carelon (Amida Care)	$423	76%
Vnsny	$423 - $1,924	76%
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 Harlem 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.