CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Nationwide Children's Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $690
Cash Discount Price: $3,645
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Nationwide Children's Hospital is $690. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,645. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.24x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.

Cash / Self-Pay

$3,645

Average discount available for prompt cash payment at this facility.

Insurance Median

$690

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: $3,645 (653%)

Insurance Median: $690 (124%)

Cash: $3,645 (653% of Medicare)

Ins. Median: $690 (124% 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
Caresource	$99 - $837	18%
Humana	$156 - $3,848	28%
Ohio Ppo Connect	$192 - $3,766	34%
Osu	$192 - $3,766	34%
UnitedHealthcare	$195 - $3,848	35%
Blue Cross Blue Shield	$205 - $3,807	37%
Aetna	$209 - $3,848	37%
Tricare	$237 - $530	42%
Mmo	$244 - $3,807	44%
Cigna	$254 - $3,807	45%
Front Path Health Coalition	$254 - $3,807	45%
Ohc	$254 - $3,766	45%
Ohg	$254 - $3,645	45%
The Health Plan	$254 - $3,888	45%
Amerihealth	$543	97%
Bchp	$543	97%
Molina	$543	97%
Ahpo	$3,807	682%
Unicare	$3,848	689%
Emerald Health	$3,969	711%
First Health	$3,969	711%
Phcs	$3,969	711%

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 $3,645.
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 Nationwide Children's 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.