CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Adventist Health Tillamook

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,277
Cash Discount Price: $1,322
vs. Medicare Baseline: 2.29x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Adventist Health Tillamook is $1,277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,322. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.29x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$1,322

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,277

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: $1,322 (237%)

Insurance Median: $1,277 (229%)

Cash: $1,322 (237% of Medicare)

Ins. Median: $1,277 (229% 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 229% of the Medicare baseline (a markup of 129%). 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
Aetna	$67 - $2,413	12%
Moda Health Plan - All Plans	$68 - $1,220	12%
Medicare (plans)	$70 - $1,220	13%
Sterling Life - All Plans	$70 - $1,268	13%
Devoted Health	$72 - $1,317	13%
Blue Cross Blue Shield	$77 - $2,258	14%
Hvhs Mcare - All Plans	$81 - $1,232	15%
UnitedHealthcare	$142 - $2,465	25%
Pacificsource - All Plans	$143 - $2,491	26%
Ods Health Plan - All Other Plans	$156 - $2,517	28%
Lifewise - All Plans	$297 - $2,341	53%
Ah Employee Health Plan - All Plans	$309 - $2,439	55%
First Choice Health- All Plans	$309 - $2,439	55%
Health Net - All Plans	$309 - $2,439	55%
Providence Preferred - All Plans	$322 - $2,543	58%
Workers Comp	$329 - $2,595	59%
Cigna	$2,326 - $2,465	417%
Phcs Preferred - All Plans	$2,326 - $2,465	417%

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 $1,322.
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 Adventist Health Tillamook 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.