CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Washington Hospital, The

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $886
Cash Discount Price: $1,416
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Washington Hospital, The is $886. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,416. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.59x the Medicare baseline. Located in 155 Wilson Avenue, Washington, PA.

Cash / Self-Pay

$1,416

Average discount available for prompt cash payment at this facility.

Insurance Median

$886

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: $1,416 (254%)

Insurance Median: $886 (159%)

Cash: $1,416 (254% of Medicare)

Ins. Median: $886 (159% 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 Caritas	$162	29%
Highmark Wholecare (Prev Gateway)	$162 - $551	29%
Aetna	$169 - $1,311	30%
Upmc Health Plan	$392 - $811	70%
Blue Cross Blue Shield	$486 - $1,206	87%
Senior Life	$523	94%
Humana	$528	95%
Health Plan Of Upper Ohio Valley	$533 - $1,621	95%
Cigna	$759 - $1,430	136%
Peak Health	$886 - $1,669	159%
Coventry/First Health	$911 - $1,716	163%
City Of Washington	$1,045	187%

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 $1,416.
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 Washington Hospital, The 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.