CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Lutheran Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $1,185
  • Cash Discount Price: $1,845
  • vs. Medicare Baseline: 2.12x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Lutheran Hospital is $1,185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,845. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.12x the Medicare baseline. Located in 1730 West 25Th Street, Cleveland, OH.
Cash / Self-Pay
$1,845

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,185

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: $1,845 (330%)
Insurance Median: $1,185 (212%)
Cash: $1,845 (330% of Medicare)
Ins. Median: $1,185 (212% 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 212% of the Medicare baseline (a markup of 112%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $273 - $1,760 49%
Paramount $296 53%
Blue Cross Blue Shield $302 - $2,215 54%
Buckeye $302 54%
Molina $302 54%
United Bh $305 55%
Caresource $308 55%
United $308 - $508 55%
Amerihealth $317 57%
Aetna $508 - $2,839 91%
Devoted Health $508 91%
Humana $508 - $2,413 91%
Mmo $508 - $1,703 91%
Summacare $508 - $1,147 91%
The Health Plan $508 - $1,703 91%
Upmc $508 - $1,703 91%
Valor $508 91%
Cigna $524 - $2,271 94%
Communicare $534 96%
Perennial Health $549 98%
Pphp $559 100%
Zing Health $559 100%
Oscar $855 - $1,092 153%
Cc Ehp $1,133 - $1,150 203%
Aultcare $1,221 219%
Amish Community Aid Plan $1,278 - $1,420 229%
Ohcp $1,380 247%
Omas $1,420 254%
Ohio Healthy $1,533 275%
Healthsmart $1,561 280%
Php $1,703 305%
Phphi $1,703 305%
Gms $1,987 356%
Medical Benefit Corp $1,987 356%
Quality Care Partners $1,987 356%
Consociate Health $2,129 381%
Frontpath $2,555 458%
Managed Care Services $2,555 458%
Multiplan $2,555 458%
Tertiary Care Network $2,555 458%
Three Rivers $2,555 458%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1730 West 25Th Street, Cleveland, OH 44113
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals