CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: St Charles Hospital
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 Charles Hospital 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 200 Belle Terre Road, Port Jefferson, 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
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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% |
| Beacon Health Options | $209 - $908 | 37% |
| Beacon Health Strategies | $209 - $908 | 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 - $1,982 | 37% |
| Senior Whole Health | $209 - $649 | 37% |
| UnitedHealthcare | $209 - $1,189 | 37% |
| Zadroga | $346 | 62% |
| Blue Cross Blue Shield | $382 - $649 | 68% |
| Self Pay | $503 | 90% |
| Aetna | $649 - $1,982 | 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 | $1,189 | 213% |
| 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 | $1,625 | 291% |
| Apwu | $1,982 | 355% |
| Brighton | $1,982 - $2,774 | 355% |
| Centivo | $1,982 | 355% |
| Cigna | $1,982 - $2,576 | 355% |
| Daniel H Cook | $1,982 | 355% |
| Mail Handlers Benefit Plan | $1,982 | 355% |
| Meritain Health | $1,982 | 355% |
| Nalc | $1,982 | 355% |
| Nippon Life Insurance Company Of America | $1,982 | 355% |
| Salvation Army | $1,982 | 355% |
| Samba | $1,982 | 355% |
| Allied Wellfare Fund | $2,576 | 461% |
| American Group Administrators | $2,576 | 461% |
| Bakery & Confectionery Union | $2,576 | 461% |
| Comprehensive Benefits Consultant | $2,576 | 461% |
| Guardian Life Insurance Company Of America | $2,576 | 461% |
| Maloney And Assoc | $2,576 | 461% |
| Multiplan | $2,576 | 461% |
| Performax | $2,576 | 461% |
| Phcs | $2,576 | 461% |
| Pomco | $2,576 | 461% |
| Tpa Inc | $2,576 | 461% |
| Unicare | $2,576 | 461% |
| United Employees Health Plan | $2,576 | 461% |
| Coventry | $2,933 - $3,369 | 525% |
| Magellan | $3,170 | 568% |
| Galaxy | $3,567 | 639% |
| Three Rivers Provider Network | $3,567 | 639% |
| Aither Health | $3,963 | 710% |
| Alpha Care | $3,963 | 710% |
| Dentaquest | $3,963 | 710% |