CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: Hospital of Univ of Pennsylvania
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $589
- Cash Discount Price: $5,558
- vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Hospital of Univ of Pennsylvania is $589. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,558. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.06x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$5,558
Average discount available for prompt cash payment at this facility.
Insurance Median
$589
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: $5,558 (996%)
Insurance Median: $589 (106%)
Cash: $5,558 (996% of Medicare)
Ins. Median: $589 (106% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Paired Kidney Exchange | $30 - $637 | 5% |
| Horizon Nj Health | $84 - $1,866 | 15% |
| Medicaid / KanCare | $98 - $10,616 | 18% |
| Kaiser Permanente | $103 - $10,616 | 18% |
| Preferred Health Care Eliance | $110 - $2,336 | 20% |
| Pgm - Regie De L'Assurance Maladie Quebec | $115 - $2,442 | 21% |
| Keystone Mercy Health Plan | $126 - $10,616 | 23% |
| Pa Medical Assistance | $141 - $10,616 | 25% |
| Cigna | $158 - $4,777 | 28% |
| Upmc | $167 - $10,616 | 30% |
| Pgm - Kuwait Defense | $175 - $4,777 | 31% |
| Qualcare | $190 - $4,034 | 34% |
| UnitedHealthcare | $193 - $10,616 | 35% |
| Olympus | $196 - $4,172 | 35% |
| Coventry | $200 - $5,414 | 36% |
| Pgm - Chop | $200 - $4,246 | 36% |
| Wissahickon Hospice | $200 - $4,246 | 36% |
| Healthamerica/Coventry | $225 - $5,202 | 40% |
| First Health Global | $250 - $5,308 | 45% |
| Gspp And Wissahickon Hospice | $287 | 51% |
| Health Net | $299 - $6,370 | 54% |
| Pgm - Royal Embassy Of Saudi Arabia | $299 - $6,370 | 54% |
| Pgm - Embassy Of Qatar | $324 - $6,900 | 58% |
| Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | $324 - $6,900 | 58% |
| Interlink | $334 - $7,113 | 60% |
| Health Partners | $342 - $10,616 | 61% |
| Pgm - Embassy Of The United Emirates/Ipc | $349 - $7,431 | 63% |
| Health America/Ccn | $399 - $8,493 | 71% |
| Humana | $399 - $8,493 | 71% |
| Intergroup | $399 - $8,493 | 71% |
| Pgm - Kuwait Health Division | $399 - $8,493 | 71% |
| Pgm - Kuwait Oil | $399 - $8,493 | 71% |
| Preferred Care | $399 - $8,493 | 71% |
| Aetna | $499 - $10,616 | 89% |
| Blue Cross Blue Shield | $499 - $5,644 | 89% |
| Blue Quality Centers For Transplant (Bqct) | $499 - $10,616 | 89% |
| City Of Philadelphia Behavioral Health | $499 - $10,616 | 89% |
| Commercial Other | $499 - $10,616 | 89% |
| Ibc Commercial Hpn | $499 - $902 | 89% |
| International Pfs | $499 - $10,616 | 89% |
| Keystone Hmo Proactive | $499 - $925 | 89% |
| United Behavioral Health | $499 - $10,616 | 89% |
| Workers Compensation | $499 - $10,616 | 89% |
| Medicare (plans) | $574 - $586 | 103% |
| Philadelphia Va Medical Center | $574 | 103% |
| Tricare | $574 | 103% |
| Ibc | $586 | 105% |
| Geisinger Health Plan | $592 - $1,821 | 106% |
| Devoted Health | $603 | 108% |
| Pa Health And Wellness | $603 - $948 | 108% |
| Penn Life (Living Independently For Elders) | $603 | 108% |
| Clover Health Plan | $620 | 111% |
| Keystone First | $638 | 114% |
| Us Family Health Plan | $660 | 118% |
| Gateway Health Plan | $712 | 128% |
| Elap | $816 | 146% |
| Claims Watcher | $919 - $1,034 | 165% |
| Oscar Health Plan | $976 | 175% |
| Centivo | $1,034 | 185% |
| Elap Services | $1,068 | 191% |
| Highmark | $1,208 | 216% |
| Penn Global Medicine | $1,522 | 273% |