CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: UPMC Pinnacle Hospitals

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,040
Cash Discount Price: $1,505
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at UPMC Pinnacle Hospitals is $1,040. 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 1.86x the Medicare baseline. Located in 409 South Second Street, Harrisburg, PA.

Cash / Self-Pay

$1,505

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,040

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: $1,040 (186%)

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

Ins. Median: $1,040 (186% 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
Blue Cross Blue Shield	$70 - $2,997	13%
Keystone Health Plan	$70 - $2,997	13%
Prime Net	$85 - $2,897	15%
UnitedHealthcare	$129 - $577	23%
Aetna	$172 - $2,361	31%
Amerihealth Caritas	$179	32%
Health Partners Plans (Jefferson Health Plan)	$192	34%
Geisinger	$205	37%
Intergroup	$228 - $3,274	41%
Pa Health & Wellness	$240 - $582	43%
Wellspan Population Health	$298 - $3,274	53%
Upmc Work Partners	$415	74%
Humana	$556	100%
Cigna	$566	101%
Upmc Health Plan	$880	158%

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 Pinnacle Hospitals 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.