CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: UPMC Somerset

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $880
Cash Discount Price: $1,505
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at UPMC Somerset is $880. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,505. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.58x the Medicare baseline. Located in 225 South Center Avenue, Somerset, PA.

Cash / Self-Pay

$1,505

Average discount available for prompt cash payment at this facility.

Insurance Median

$880

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: $1,505 (270%)

Insurance Median: $880 (158%)

Cash: $1,505 (270% of Medicare)

Ins. Median: $880 (158% 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 - $1,660	20%
Geisinger	$138 - $1,517	25%
Aetna	$140 - $1,541	25%
Upmc Health Plan	$155 - $880	28%
Amerihealth Caritas	$162 - $523	29%
Multiplan	$176 - $2,504	32%
Highmark Wholecare (Prev Gateway)	$181 - $565	32%
Galaxy Health Plan	$228 - $2,504	41%
Humana	$263 - $2,889	47%
Blue Cross Blue Shield	$337 - $981	60%
Upmc Work Partners	$396	71%

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 $1,505.
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 Somerset 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.