CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: UPMC Jameson

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $555
Cash Discount Price: $1,876
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at UPMC Jameson is $555. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,876. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.99x the Medicare baseline. Located in 1211 Wilmington Avenue, New Castle, PA.

Cash / Self-Pay

$1,876

Average discount available for prompt cash payment at this facility.

Insurance Median

$555

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: $1,876 (336%)

Insurance Median: $555 (99%)

Cash: $1,876 (336% of Medicare)

Ins. Median: $555 (99% 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
UnitedHealthcare	$113 - $1,151	20%
Upmc Health Plan	$155 - $880	28%
Aetna	$159 - $523	28%
Amerihealth Caritas	$183 - $565	33%
Geisinger	$196	35%
Pa Health & Wellness	$240 - $565	43%
Blue Cross Blue Shield	$346	62%
Upmc Work Partners	$396	71%
Humana	$523 - $2,502	94%
Cigna	$565 - $963	101%
Highmark Wholecare (Prev Gateway)	$565	101%
Occunet	$653	117%
Multiplan	$2,345 - $2,502	420%
National Provider Network	$2,752	493%

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 $1,876.
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 UPMC Jameson 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.