CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Ellenville Regional Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $943
Cash Discount Price: $1,256
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Ellenville Regional Hospital is $943. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,256. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.69x the Medicare baseline. Located in 10 Healthy Way, Ellenville, NY.

Cash / Self-Pay

$1,256

Average discount available for prompt cash payment at this facility.

Insurance Median

$943

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: $1,256 (225%)

Insurance Median: $943 (169%)

Cash: $1,256 (225% of Medicare)

Ins. Median: $943 (169% 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	$251 - $1,256	45%
Emblemhealth	$570 - $1,340	102%
Cdphp	$620	111%
Blue Cross Blue Shield	$670	120%
Fidelis	$670	120%
Hamaspik Choice	$670	120%
Humana	$670	120%
Mvp Health Care Of Ny	$704 - $1,256	126%
Aetna	$770 - $1,089	138%
Local 1199Seiu	$770 - $1,089	138%
Wellcare	$921	165%
Galaxy Health	$1,089	195%
Oxford Health Plans	$1,256	225%

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 $1,256.
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 Ellenville Regional 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.