CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Ira Davenport Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,385
Cash Discount Price: $1,440
vs. Medicare Baseline: 2.48x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Ira Davenport Memorial Hospital is $1,385. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,440. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.48x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.

Cash / Self-Pay

$1,440

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,385

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: $1,440 (258%)

Insurance Median: $1,385 (248%)

Cash: $1,440 (258% of Medicare)

Ins. Median: $1,385 (248% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 248% of the Medicare baseline (a markup of 148%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Empire	$53 - $179	9%
Blue Cross Blue Shield	$321 - $7,222	58%
Fidelis	$586	105%
Humana	$649 - $2,142	116%
Tricare	$649	116%
Amerihealth Caritas Mcr Adv - All Plans	$655	117%
Fidelis Care - Exchange - All Plans	$1,309	234%
Geisinger - All Plans	$1,385	248%
Cigna	$1,483	266%
Mvp Health Plan - All Plans	$1,483	266%
Independent Health - All Plans	$1,547	277%
Upmc - All Plans	$1,643	294%
Pomco Inc - All Plans	$1,714	307%
Aetna	$1,785 - $2,125	320%
UnitedHealthcare	$1,785 - $2,500	320%
Emblem Health - All Plans	$2,095	375%
Emblem/Ghi	$2,200	394%
Martins Point - All Plans	$2,380	426%
Healthnow - All Plans	$7,841	1405%

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 $1,440.
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 Ira Davenport Memorial Hospital 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.