CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Clair Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $641
Cash Discount Price: $497
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Clair Hospital is $641. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $497. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.15x the Medicare baseline. Located in 1000 Bower Hill Road, Pittsburgh, PA.

Cash / Self-Pay

$497

Average discount available for prompt cash payment at this facility.

Insurance Median

$641

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: $497 (89%)

Insurance Median: $641 (115%)

Cash: $497 (89% of Medicare)

Ins. Median: $641 (115% 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	$148 - $1,747	27%
Aetna	$162 - $1,426	29%
Amerihealth	$162 - $532	29%
Geisinger	$162 - $548	29%
Health Partners	$162 - $559	29%
Highmark	$162 - $1,191	29%
Pa Health And Wellness	$162 - $554	29%
Humana	$532	95%
Upmc	$532 - $577	95%
Cigna	$554 - $641	99%
The Health Plan	$559 - $1,277	100%
Lantern	$1,144	205%

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 $497.
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 St Clair Hospital 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.