CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Avita Ontario

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,619
Cash Discount Price: $1,678
vs. Medicare Baseline: 4.69x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Avita Ontario is $2,619. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,678. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.69x the Medicare baseline. Located in 715 Richland Mall, Ontario, OH.

Cash / Self-Pay

$1,678

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,619

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: $1,678 (301%)

Insurance Median: $2,619 (469%)

Cash: $1,678 (301% of Medicare)

Ins. Median: $2,619 (469% 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 469% of the Medicare baseline (a markup of 369%). 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
Medical_Mutual	$554 - $12,510	99%
Caresource	$596	107%
Medicaid / KanCare	$596	107%
Molina	$596 - $12,265	107%
Ohiorise	$596	107%
United_Healthcare	$596 - $12,265	107%
Blue Cross Blue Shield	$614 - $12,265	110%
Amerihealth	$626	112%
Buckeye	$645 - $12,265	116%
Humana	$645 - $12,265	116%
Cigna	$1,500 - $1,576	269%
Aetna	$1,636 - $12,265	293%
Medicare (plans)	$3,518 - $12,265	630%
Mount_Carmel	$3,518 - $12,265	630%

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 $1,678.
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 Avita Ontario 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.