CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: The University of Vermont Health Network - Champl

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $432
Cash Discount Price: $3,591
vs. Medicare Baseline: 0.77x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at The University of Vermont Health Network - Champl is $432. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,591. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.77x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$3,591

Average discount available for prompt cash payment at this facility.

Insurance Median

$432

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: $3,591 (643%)

Insurance Median: $432 (77%)

Cash: $3,591 (643% of Medicare)

Ins. Median: $432 (77% 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
UnitedHealthcare	$126 - $2,896	23%
Mvp	$153 - $3,020	27%
Aetna	$180 - $2,706	32%
Blue Cross Blue Shield	$180 - $3,181	32%
Capital District Physicians' Health Plan	$180 - $2,992	32%
Fidelis Care	$180 - $670	32%
Humana	$180 - $636	32%
Martins Point	$180 - $717	32%
Veterans Affairs Community Care Network	$180 - $670	32%
Wellpath	$252 - $1,005	45%
Highmark Blueshield	$259 - $2,808	46%
Harvard Pilgrim	$384 - $3,036	69%
Magnacare	$384 - $3,036	69%
St. Regis	$384 - $670	69%
Coventry	$432 - $3,416	77%
Multiplan	$456 - $3,605	82%
Emblem Health	$2,873 - $3,036	515%

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 $3,591.
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 The University of Vermont Health Network - Champl 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.