CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: Pennsylvania Hospital
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $589
- Cash Discount Price: $4,410
- vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Pennsylvania Hospital is $589. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,410. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.06x the Medicare baseline. Located in 800 Spruce Street, Philadelphia, PA.
Cash / Self-Pay
$4,410
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: $4,410 (790%)
Insurance Median: $589 (106%)
Cash: $4,410 (790% 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
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 |
|---|---|---|
| Horizon Nj Health | $84 - $1,463 | 15% |
| Gateway Health Plan | $98 - $709 | 18% |
| Medicaid / KanCare | $98 - $8,320 | 18% |
| UnitedHealthcare | $102 - $8,320 | 18% |
| Pgm - Regie De L'Assurance Maladie Quebec | $115 - $1,914 | 21% |
| Keystone Mercy Health Plan | $126 | 23% |
| Preferred Health Care Eliance | $130 - $2,163 | 23% |
| Pa Medical Assistance | $141 | 25% |
| Cigna | $158 - $2,818 | 28% |
| Upmc | $167 - $8,320 | 30% |
| Pgm - Kuwait Defense | $175 - $3,744 | 31% |
| Devon | $190 - $3,744 | 34% |
| Qualcare | $190 - $3,162 | 34% |
| Coventry | $200 - $4,243 | 36% |
| Pgm - Chop | $200 - $3,328 | 36% |
| Wissahickon Hospice | $200 - $3,328 | 36% |
| Healthamerica/Coventry | $225 - $4,077 | 40% |
| Olympus | $243 - $4,044 | 44% |
| First Health Global | $250 - $4,160 | 45% |
| Urn-Cancer Resource Services | $250 - $4,160 | 45% |
| Blue Cross Blue Shield | $285 - $8,320 | 51% |
| Health Net | $299 - $4,992 | 54% |
| Pgm - Royal Embassy Of Saudi Arabia | $299 - $4,992 | 54% |
| Pgm - Embassy Of Qatar | $324 - $5,408 | 58% |
| Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | $324 - $5,408 | 58% |
| Health Partners | $342 - $8,320 | 61% |
| Pgm - Embassy Of The United Emirates/Ipc | $349 - $5,824 | 63% |
| Devon Health Services Inc | $399 - $6,656 | 71% |
| Health America/Ccn | $399 - $6,656 | 71% |
| Humana | $399 - $6,656 | 71% |
| Intergroup | $399 - $6,656 | 71% |
| Pgm - Kuwait Health Division | $399 - $6,656 | 71% |
| Pgm - Kuwait Oil | $399 - $6,656 | 71% |
| Preferred Care | $399 - $6,656 | 71% |
| Aetna | $499 - $8,320 | 89% |
| Commercial Other | $499 - $8,320 | 89% |
| Community Behavioral Health | $499 - $8,320 | 89% |
| Ibc Commercial Hpn | $499 - $902 | 89% |
| International Pfs | $499 - $8,320 | 89% |
| Keystone Hmo Proactive | $499 - $925 | 89% |
| Quest Behavioral Health | $499 - $8,320 | 89% |
| United Behavioral Health | $499 - $8,320 | 89% |
| Workers Compensation | $499 - $8,320 | 89% |
| Medicare (plans) | $572 - $583 | 102% |
| Philadelphia Va Medical Center | $572 | 102% |
| Tricare | $574 | 103% |
| Ibc | $583 | 104% |
| Geisinger Health Plan | $589 - $1,813 | 106% |
| Pa Health And Wellness | $600 - $943 | 107% |
| Penn Life (Living Independently For Elders) | $600 | 107% |
| Clover Health Plan | $617 | 111% |
| Keystone First | $634 | 114% |
| Us Family Health Plan | $660 | 118% |
| Elap | $812 | 145% |
| Claims Watcher | $914 - $1,029 | 164% |
| Oscar Health Plan | $972 | 174% |
| Centivo | $1,029 | 184% |
| Elap Services | $1,063 | 190% |
| Highmark | $1,202 | 215% |
| Penn Global Medicine | $1,514 | 271% |