CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $558
Cash Discount Price: $4,297
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Nationwide Children's Hospital Toledo, LLC is $558. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,297. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.00x the Medicare baseline. Located in 2213 Cherry Street, Toledo, OH.

Cash / Self-Pay

$4,297

Average discount available for prompt cash payment at this facility.

Insurance Median

$558

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: $4,297 (770%)

Insurance Median: $558 (100%)

Cash: $4,297 (770% of Medicare)

Ins. Median: $558 (100% 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	$66 - $586	12%
Paramount	$66	12%
Blue Cross Blue Shield	$69 - $3,652	12%
Front Path Health Coalition	$86 - $3,222	15%
Mcclaren Health Plan	$92 - $3,222	16%
Aetna	$118 - $2,757	21%
UnitedHealthcare	$118 - $3,616	21%
Ohc	$221 - $3,580	40%
Ohio Ppo Connect	$221 - $3,580	40%
Cigna	$223 - $601	40%
Molina	$400 - $658	72%
Amerihealth	$403	72%
Bchp	$403	72%
Humana	$403	72%
Tricare	$530	95%
Mcclaren Health Plan - Michigan	$575	103%
Mmo	$1,790 - $2,506	321%
First Health	$5,514	988%

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 $4,297.
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 Toledo, LLC 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.