CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Clarion Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $559
  • Cash Discount Price: $647
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Clarion Hospital is $559. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $647. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.00x the Medicare baseline. Located in One Hospital Drive, Clarion, PA.
Cash / Self-Pay
$647

Average discount available for prompt cash payment at this facility.

Insurance Median
$559

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: $647 (116%)
Insurance Median: $559 (100%)
Cash: $647 (116% of Medicare)
Ins. Median: $559 (100% 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.

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
Upmc $123 - $691 22%
Medicaid / KanCare $141 25%
Amerihealth $155 - $527 28%
Jefferson Health Plan $155 28%
Geisinger $169 - $554 30%
Highmark $393 - $875 70%
Highmark - Ind.& Managed Care $393 - $1,184 70%
Martin'S Point - Usfhp $405 - $527 73%
Workers Comp $412 74%
Gateway $428 - $564 77%
Devoted Health Plan $462 - $559 83%
Highmark Community Blue $525 94%
Cigna $527 - $578 94%
Medicare (plans) $527 94%
Tricare $527 94%
UnitedHealthcare $527 94%
Aetna $543 - $1,213 97%
The Health Plan $559 - $1,240 100%
Pa Health & Wellness $564 101%
American Health Plan $580 104%
Peak Health $809 - $1,240 145%
Devon $867 155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Drive, Clarion, PA 16214
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals