CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: UPMC St Margaret

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $935
Cash Discount Price: $1,935
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at UPMC St Margaret is $935. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,935. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.67x the Medicare baseline. Located in 815 Freeport Road, Pittsburgh, PA.

Cash / Self-Pay

$1,935

Average discount available for prompt cash payment at this facility.

Insurance Median

$935

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: $1,935 (347%)

Insurance Median: $935 (167%)

Cash: $1,935 (347% of Medicare)

Ins. Median: $935 (167% 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	$155	28%
Upmc Health Plan	$155 - $1,080	28%
Highmark Wholecare (Prev Gateway)	$209 - $1,612	37%
Amerihealth Caritas	$220	39%
Pa Health & Wellness	$240 - $565	43%
Blue Cross Blue Shield	$343 - $2,403	61%
Upmc Work Partners	$396	71%
Aetna	$549 - $1,290	98%
Cigna	$903 - $1,290	162%
Coventry/First Health	$2,258	404%
Private Health Care Systems	$2,580	462%
Selectcare	$2,580	462%
Humana	$2,741	491%

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 $1,935.
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 St Margaret 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.