CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,381
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.47x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Arthur G James Cancer Hospital and Research Institute is $1,381. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.47x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,381

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%)

Insurance Median: $1,381 (247%)

Ins. Median: $1,381 (247% 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 247% of the Medicare baseline (a markup of 147%). 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
Healthspan	$521 - $5,413	93%
Medigold	$521	93%
Upper Ohio Valley	$521 - $5,413	93%
Medicare (plans)	$527 - $5,467	94%
Humana	$532 - $5,521	95%
Medicaid / KanCare	$603 - $828	108%
Aetna	$633 - $5,388	113%
United	$663 - $2,167	119%
Caresource	$786 - $1,175	141%
Mmo	$786 - $2,011	141%
Molina	$786 - $5,388	141%
Odrc	$828 - $968	148%
Blue Cross Blue Shield	$874 - $2,257	157%
Buckeye Community	$879 - $1,167	157%
Amerihealth	$886 - $1,283	159%
Osu Health Plan	$1,087 - $1,576	195%
Lifetrac	$1,548 - $1,619	277%
Ohio Ppo	$1,562	280%
Ohiohealth	$1,714 - $1,738	307%
Cigna	$1,726 - $1,787	309%
Frontpath	$1,905	341%
Healthsmart	$2,143	384%
Multiplan	$2,214	397%
Ohio Dept Of Health	$4,289	768%

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 $X.
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 Arthur G James Cancer Hospital and Research Institute 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.