CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,244
Cash Discount Price: $1,866
vs. Medicare Baseline: 2.23x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Magee Womens Hospital of UPMC Health System is $1,244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,866. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.23x the Medicare baseline. Located in 300 Halket Street, Pittsburgh, PA.

Cash / Self-Pay

$1,866

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,244

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: $1,866 (334%)

Insurance Median: $1,244 (223%)

Cash: $1,866 (334% of Medicare)

Ins. Median: $1,244 (223% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 223% of the Medicare baseline (a markup of 123%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 - $565	28%
Upmc Health Plan	$155 - $1,359	28%
Aetna	$183 - $1,648	33%
Highmark Wholecare (Prev Gateway)	$209 - $565	37%
Geisinger	$220	39%
Amerihealth Caritas	$223 - $565	40%
Pa Health & Wellness	$240	43%
Blue Cross Blue Shield	$343 - $2,105	61%
Upmc Work Partners	$396	71%
Cigna	$1,244 - $1,648	223%
Intergroup	$1,555	279%
Coventry/First Health	$2,177	390%
Preferred Healthcare System	$2,488	446%
Humana	$2,644	474%
Private Health Care Systems	$2,644	474%
Multiplan	$2,861	512%

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 $1,866.
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 Magee Womens Hospital of UPMC Health System 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.