CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Southwest General Health Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,080
Cash Discount Price: $2,208
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Southwest General Health Center is $1,080. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,208. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.93x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.

Cash / Self-Pay

$2,208

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,080

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: $2,208 (396%)

Insurance Median: $1,080 (193%)

Cash: $2,208 (396% of Medicare)

Ins. Median: $1,080 (193% 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
Buckeye	$162 - $686	29%
Caresource	$162 - $332	29%
Humana	$162 - $1,158	29%
Molina	$162 - $686	29%
UnitedHealthcare	$162 - $1,603	29%
Amerihealth Caritas	$168 - $332	30%
Medical Mutual	$219 - $230	39%
Medical Mutual-Ohio	$219 - $252	39%
Blue Cross Blue Shield	$252 - $335	45%
Valor Health	$252	45%
Healthsmart	$934 - $950	167%
Health Design Plus	$1,080 - $1,099	193%
Clarity Health	$1,168 - $1,188	209%
Healthspan	$1,168 - $1,188	209%
Healthsmart Preferred	$1,314 - $1,336	235%
Ohio Health Choice Plus	$1,413 - $1,437	253%
Summacare	$1,577 - $1,603	282%
Aetna	$1,580 - $1,606	283%
Cigna	$1,597 - $1,624	286%
Coventry	$2,015 - $2,049	361%
First Health	$2,015 - $2,049	361%
Ohio Health Choice	$2,257 - $2,295	404%
Private Healthare Systems	$2,336 - $2,375	418%

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 $2,208.
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 Southwest General Health Center 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.