CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Schuylkill Medical Center - South Jackson Street

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $574
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Schuylkill Medical Center - South Jackson Street is $574. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.03x the Medicare baseline. Located in 420 South Jackson Street, Pottsville, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$574

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%)

Insurance Median: $574 (103%)

Ins. Median: $574 (103% 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
Aetna	$161 - $3,003	29%
Amerihealth Caritas	$162	29%
UnitedHealthcare	$166 - $563	30%
Geisinger	$168 - $1,318	30%
Highmark Wholecare/Gateway	$179	32%
Jefferson Health Partners	$190 - $1,083	34%
Pa Health & Wellness	$190	34%
Upmc	$232 - $2,637	42%
Blue Cross Blue Shield	$542	97%
Highmark Blue Shield	$552 - $1,712	99%
Amerihealth	$558	100%
Cigna	$558	100%
Devoted Health	$574	103%
Humana	$574	103%
Gateway	$579	104%
Emblem	$585 - $2,415	105%
Pa Health & Wellness (Allwell)	$596	107%
Ambetter / Centene	$1,643	294%
Valley Preferred	$3,158	566%

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 $X.
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 Schuylkill Medical Center - South Jackson Street 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.