CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Luke's Hospital - Upper Bucks Campus

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $811
Cash Discount Price: $3,524
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Luke's Hospital - Upper Bucks Campus is $811. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,524. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.45x the Medicare baseline. Located in 3000 St. Luke's Drive, Quakertown, PA.

Cash / Self-Pay

$3,524

Average discount available for prompt cash payment at this facility.

Insurance Median

$811

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: $3,524 (631%)

Insurance Median: $811 (145%)

Cash: $3,524 (631% of Medicare)

Ins. Median: $811 (145% 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
Keystone First	$141	25%
Geisinger	$166 - $1,101	30%
Amerihealth Caritas	$169	30%
Highmark Wholecare	$169	30%
Upmc Health Plan	$169 - $1,073	30%
Jefferson Health Plan	$203	36%
Blue Cross Blue Shield	$561 - $3,243	100%
Highmark	$561 - $1,940	100%
Aetna	$573 - $1,367	103%
Humana	$584	105%
UnitedHealthcare	$606 - $1,132	109%
Oscar	$1,016	182%
Cigna	$1,072	192%

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 $3,524.
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 St Luke's Hospital - Upper Bucks Campus 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.