CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Saint Vincent Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $167
Cash Discount Price: $2,158
vs. Medicare Baseline: 0.30x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Saint Vincent Hospital is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,158. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.30x the Medicare baseline. Located in 232 West 25Th Street, Erie, PA.

Cash / Self-Pay

$2,158

Average discount available for prompt cash payment at this facility.

Insurance Median

$167

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: $2,158 (387%)

Insurance Median: $167 (30%)

Cash: $2,158 (387% of Medicare)

Ins. Median: $167 (30% 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
Amerihealth	$45 - $626	8%
Univera	$56 - $270	10%
Pennsylvania Health And Wellness	$57 - $212	10%
Geisinger	$62 - $226	11%
UnitedHealthcare	$62 - $16,113	11%
Highmark	$82 - $870	15%
Aetna	$108 - $1,215	19%
Cigna	$109 - $1,391	20%
University Of Pittsburgh Medical Center	$113 - $597	20%
Highmark Wholecare	$135 - $632	24%
Jefferson Health Plans	$150 - $216	27%
Martin'S Point	$341 - $630	61%
American Health Plans	$597	107%
Life Pittsburgh	$597	107%
Medicare (plans)	$614	110%
Blue Cross Blue Shield	$626 - $940	112%
Humana	$632	113%
Molina	$650	116%
Medical Mutual	$1,273	228%

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 $2,158.
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 Saint Vincent 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.