CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: St Mary Medical Center
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $68
- Cash Discount Price: $236
- vs. Medicare Baseline: 0.12x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Mary Medical Center is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $236. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.12x the Medicare baseline. Located in Langhorne-Newtown Rd, Langhorne, PA.
Cash / Self-Pay
$236
Average discount available for prompt cash payment at this facility.
Insurance Median
$68
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: $236 (42%)
Insurance Median: $68 (12%)
Cash: $236 (42% of Medicare)
Ins. Median: $68 (12% 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 |
|---|---|---|
| Albany County Correctional Facility | $43 | 8% |
| Ambetter / Centene | $43 - $1,051 | 8% |
| Amish Mennonite | $43 | 8% |
| Ascension St. Vincent Public Safety Medical | $43 | 8% |
| Bcccp-Michigan | $43 | 8% |
| Bccp | $43 | 8% |
| Blue Cross Blue Shield | $43 - $589 | 8% |
| Bmc Healthnet | $43 | 8% |
| Breast Grant-Connecticut | $43 | 8% |
| Broward County Dept Of Health | $43 | 8% |
| California Health And Wellness | $43 | 8% |
| Cardinal Innovations Lme | $43 | 8% |
| Care Connections Of Northern Iowa | $43 | 8% |
| Care Oregon Ohp | $43 | 8% |
| Cencal Health Plan | $43 | 8% |
| Cenpatico | $43 | 8% |
| Chhuny | $43 | 8% |
| Childrens Comm Health Plan | $43 | 8% |
| Childrens Medical Services Title 19 | $43 | 8% |
| Cigna | $43 - $1,534 | 8% |
| City Of Philadelphia | $43 | 8% |
| Cmh Allegan County | $43 | 8% |
| Cmh Ausable Valley | $43 | 8% |
| Cmh Barry County | $43 | 8% |
| Cmh Bay-Arenac County | $43 | 8% |
| Cmh Berrien County | $43 | 8% |
| Cmh Cass County | $43 | 8% |
| Cmh Central Mi County | $43 | 8% |
| Cmh Clinton-Eaton-Ingham County | $43 | 8% |
| Cmh Detroit Wayne Integrated Health Network | $43 | 8% |
| Cmh Genesee County | $43 | 8% |
| Cmh Ionia County | $43 | 8% |
| Cmh Jackson County/Lifeways | $43 | 8% |
| Cmh Kalamazoo | $43 | 8% |
| Cmh Kent County | $43 | 8% |
| Cmh Lenawee County | $43 | 8% |
| Cmh Livingston County | $43 | 8% |
| Cmh Macomb | $43 | 8% |
| Cmh Misc | $43 | 8% |
| Cmh Monroe County | $43 | 8% |
| Cmh Montcalm County | $43 | 8% |
| Cmh Muskegon County | $43 | 8% |
| Cmh Newaygo County | $43 | 8% |
| Cmh North Country | $43 | 8% |
| Cmh Northern Lakes County | $43 | 8% |
| Cmh Oakland County | $43 | 8% |
| Cmh Ottawa County | $43 | 8% |
| Cmh Van Buren County | $43 | 8% |
| Cmh Washtenaw County | $43 | 8% |
| Cmh Wayne County/Carelink | $43 | 8% |
| Cmh Wayne Cty/Com Liv Svcs | $43 | 8% |
| Cmh West Mi County | $43 | 8% |
| Community Benefit Health | $43 | 8% |
| Community Care Behavorial Health | $43 | 8% |
| Community Care Partners | $43 | 8% |
| Community Health Choice | $43 - $56 | 8% |
| Connections Csp | $43 | 8% |
| County Coroner | $43 | 8% |
| County Funding Generic | $43 | 8% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $43 | 8% |
| Dean Wi Badgercare | $43 | 8% |
| Delaware County Department Of Health | $43 | 8% |
| Delaware First Health | $43 | 8% |
| Delta Dental Nj | $43 | 8% |
| Dph Tb Program | $43 | 8% |
| Dscc | $43 | 8% |
| Eastpointe Lme | $43 | 8% |
| Family Health Network | $43 | 8% |
| Freedom First Healthcare | $43 | 8% |
| Fresno County Ccs | $43 | 8% |
| Ghc Scw Wi Badgercare | $43 | 8% |
| Harbor Health | $43 | 8% |
| Health Safety Net | $43 | 8% |
| Healthy Blue Ne | $43 | 8% |
| Hennepin Health | $43 | 8% |
| Humana | $43 - $212 | 8% |
| Id County Ada | $43 | 8% |
| Id County Canyon | $43 | 8% |
| Id County Cat Fund | $43 | 8% |
| Id County Other | $43 | 8% |
| Id County Payette | $43 | 8% |
| Idaho Dept Health And Wellfare | $43 | 8% |
| Idaho Womens Health Check | $43 | 8% |
| Indiana Breast Cervical Cancer | $43 | 8% |
| Inland Empire Health Plan | $43 | 8% |
| Intercommunity Health Ohp | $43 | 8% |
| Iowa Total Care | $43 | 8% |
| Jai Medical System | $43 | 8% |
| Kern Family Health Plan | $43 | 8% |
| La Care Health Plan | $43 | 8% |
| Lakeland Care Inc | $43 | 8% |
| Managed Health Services - Indiana | $43 | 8% |
| Maryland Breast & Cervical Program | $43 | 8% |
| Maryland Healthy Smiles - Scion Dental | $43 | 8% |
| Maryland Physicians Care | $43 | 8% |
| Massachusetts Behavioral Health Partnership | $43 | 8% |
| Mdwise | $43 | 8% |
| Medi-Cal | $43 | 8% |
| Medi-Cal Healthnet | $43 | 8% |
| Medicaid / KanCare | $43 - $471 | 8% |
| Medstar Dc Healthy Family | $43 | 8% |
| Medstar Md Health Choice | $43 | 8% |
| Mo Home State Health Plan | $43 | 8% |
| Molina Centennial Care | $43 | 8% |
| Nascentia Health Options | $43 | 8% |
| Nebraska Total Care | $43 | 8% |
| New York Cancer Services Program | $43 | 8% |
| Nextlevel Health | $43 | 8% |
| Oregon Screenwise | $43 | 8% |
| Pace Of Southwest Michigan | $43 - $68 | 8% |
| Paramount Advantage | $43 | 8% |
| Parkland Community Health Plan | $43 | 8% |
| Partners Behavioral Lme | $43 | 8% |
| Peach State Healthplan | $43 | 8% |
| Philadelphia County Funding | $43 | 8% |
| Presbyterian Centennial Care | $43 | 8% |
| Prestige Health Choice | $43 | 8% |
| Priority Partners | $43 | 8% |
| Robert F Sing Program | $43 | 8% |
| Rx 340B Pass Along | $43 | 8% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $43 | 8% |
| Rx Medi-Cal | $43 | 8% |
| Rx Meridian Rx | $43 | 8% |
| Ryan White Florida Mssrp | $43 | 8% |
| Sandhills Center Lme | $43 | 8% |
| Screening For Life | $43 | 8% |
| St Joseph County Hlth Dpt | $43 | 8% |
| Stephenson Cty Health | $43 | 8% |
| Sunshine State Health Plan | $43 | 8% |
| Superior Health | $43 | 8% |
| Tenncare | $43 | 8% |
| Texas Children'S Health Plan | $43 | 8% |
| Trillium Community Ohp | $43 | 8% |
| Tufts Health Public Plans | $43 | 8% |
| Vaya Health Lme | $43 | 8% |
| Washtenaw Health Plan | $43 | 8% |
| Wellsense Health Plan | $43 | 8% |
| Wi Womens Wellness | $43 | 8% |
| Aetna | $62 - $2,028 | 11% |
| UnitedHealthcare | $64 - $1,206 | 11% |
| Champva | $65 | 12% |
| Tricare | $65 | 12% |
| Triwest Health Alliance | $65 | 12% |
| Us Family Health Plan | $65 | 12% |
| Veterans Eval Services | $65 | 12% |
| Align Senior Care | $68 - $601 | 12% |
| Ally Align Care Adv | $68 | 12% |
| American Health Advantage Of Idaho | $68 | 12% |
| American Health Plan | $68 | 12% |
| Aurora Special Needs | $68 | 12% |
| Blue Care Network Advantage | $68 | 12% |
| Blue Shield - De (Highmark) Medciare Advantage | $68 | 12% |
| Care Dimensions | $68 | 12% |
| Care Improvement Plus | $68 | 12% |
| Care Resources Pace | $68 | 12% |
| Careplus Health Plans | $68 | 12% |
| Cca - Zing Health | $68 | 12% |
| Cca Senior Care Options | $68 | 12% |
| Central Valley Medical Services Corp Pace | $68 | 12% |
| Champion Health Plan Mcr Advantage | $68 | 12% |
| Clear Spring Health | $68 | 12% |
| Clover Health | $68 | 12% |
| Commonwealth Care Alliance | $68 | 12% |
| Community Pace At Home | $68 | 12% |
| Eddy Senior Care-Pace | $68 | 12% |
| Eddy Seniorcare Pace | $68 | 12% |
| Elementcare | $68 | 12% |
| Everence | $68 | 12% |
| Gateway Health Plan | $68 | 12% |
| Genesys Pace Of Genesee County | $68 | 12% |
| Georgia Health Advantage | $68 | 12% |
| Gold Advantage | $68 | 12% |
| Gpa Croell Redi Mix | $68 | 12% |
| Highmark Health Options Dual Plan | $68 | 12% |
| Hope Select Pace | $68 | 12% |
| Horizon Nj Total Care | $68 | 12% |
| Hudson Headwaters Pace | $68 | 12% |
| Huron Valley Pace | $68 | 12% |
| Innovative Integrated Health Community Plans | $68 | 12% |
| Iowa Health Advantage | $68 | 12% |
| Johns Hopkins Advantage Md | $68 | 12% |
| Lasso Healthcare Msa | $68 | 12% |
| Life St Marys Pace | $68 | 12% |
| Lifecircles Pace | $68 | 12% |
| Longevity Health Plan | $68 | 12% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $68 | 12% |
| Martins Point Generations Advantage | $68 | 12% |
| Mass General Brigham Mcr Adv | $68 | 12% |
| Medicare (plans) | $68 - $1,060 | 12% |
| Medipak Advantage | $68 | 12% |
| Mercy Life | $68 | 12% |
| Mercyone Cedar Valley | $68 | 12% |
| Meridian Complete | $68 | 12% |
| Michigan Complete Health | $68 | 12% |
| Nascentia Health Plus | $68 | 12% |
| New Centry Health Careplus | $68 | 12% |
| Osu Prime Care Advantage | $68 | 12% |
| Pace Cny | $68 | 12% |
| Pace Iowa Immanuel Pathways | $68 | 12% |
| Pace Southeast | $68 | 12% |
| Pace-Trinity Health | $68 - $296 | 12% |
| Peak Pace Solutions | $68 | 12% |
| Preferred Care Partners | $68 | 12% |
| Presbyterian Senior Plan | $68 | 12% |
| Provider Partners Health Plan Of Illinois | $68 | 12% |
| Provider Partners Health Plan Of Indiana | $68 | 12% |
| Pruitthealth Premier | $68 | 12% |
| Reliance Community Care Partners Care Resources Pace | $68 | 12% |
| Rx Allwin | $68 | 12% |
| Rx Grane Grnmedd | $68 | 12% |
| Rx Retiree Rx Care | $68 | 12% |
| Scan Health Plan Mcr Ipa Meritage Oon | $68 | 12% |
| Secure Horizons Ma Pffs | $68 | 12% |
| Serenity Pace | $68 | 12% |
| Siouxland Pace | $68 | 12% |
| Solis Health Plans | $68 | 12% |
| Sunnyview-Pace Finance Dept | $68 | 12% |
| Texan Plus | $68 | 12% |
| The Health Plan | $68 | 12% |
| Thome Pace | $68 | 12% |
| Todays Options | $68 | 12% |
| Tribute Health Plans | $68 | 12% |
| Um Health Advantage | $68 | 12% |
| Union Health Service | $68 | 12% |
| Welbe Health | $68 | 12% |
| Wellmed | $68 | 12% |
| Evercare | $69 | 12% |
| Veterans Administration | $69 | 12% |
| Andrie Inc | $78 | 14% |
| East Greenbush Central School District | $78 | 14% |
| Genex Wc | $78 | 14% |
| Healthsmart Workers Comp | $78 | 14% |
| Jag Source | $78 | 14% |
| New York State Insurance Fund | $78 | 14% |
| Njm Insurance Group | $78 | 14% |
| Rx Heatlhcomp | $78 | 14% |
| Rx Restat | $78 | 14% |
| Rx Saif Opdp Wc | $78 | 14% |
| Rx Worker'S Comp | $78 | 14% |
| Wc Accident Fund | $78 | 14% |
| Wc Ace | $78 | 14% |
| Wc Acs Federal Employees | $78 | 14% |
| Wc Acuity | $78 | 14% |
| Wc Advantage | $78 | 14% |
| Wc Aegis | $78 | 14% |
| Wc Aig | $78 | 14% |
| Wc Aims | $78 | 14% |
| Wc Alaska National Ins | $78 | 14% |
| Wc Align Network | $78 | 14% |
| Wc Allied | $78 | 14% |
| Wc Am Trust N America | $78 | 14% |
| Wc American Claims Mgmt | $78 | 14% |
| Wc Amerisure | $78 | 14% |
| Wc Amtrust | $78 | 14% |
| Wc Asu Risk Mgt | $78 | 14% |
| Wc Benetech | $78 | 14% |
| Wc Berkley Admin | $78 | 14% |
| Wc Broadspire | $78 | 14% |
| Wc Broward County | $78 | 14% |
| Wc Bunch & Associates | $78 | 14% |
| Wc California State Comp Ins | $78 | 14% |
| Wc California State Ins Fund | $78 | 14% |
| Wc Capitol Area Health Consortium | $78 | 14% |
| Wc Ccmsi | $78 | 14% |
| Wc Chartis | $78 | 14% |
| Wc Chubb | $78 | 14% |
| Wc Cirma | $78 | 14% |
| Wc City Of Albany | $78 | 14% |
| Wc City Of Sioux City | $78 | 14% |
| Wc Claims Mgmt Inc | $78 | 14% |
| Wc Cna | $78 | 14% |
| Wc Comp One Admin C/O Manageability | $78 | 14% |
| Wc Compone Admin | $78 | 14% |
| Wc Corvel | $78 | 14% |
| Wc Ct Healthcare Trust | $78 | 14% |
| Wc Donegal Insurance Group | $78 | 14% |
| Wc Emc Insurance Company | $78 | 14% |
| Wc Employee Mutual | $78 | 14% |
| Wc Enablecomp | $78 | 14% |
| Wc Encore Health Network | $78 | 14% |
| Wc Erie | $78 | 14% |
| Wc Esis | $78 | 14% |
| Wc Evolutions | $78 | 14% |
| Wc Fcci | $78 | 14% |
| Wc Fed Ex | $78 | 14% |
| Wc Federal Black Lung | $78 | 14% |
| Wc Federated | $78 | 14% |
| Wc Finley Occupational Health | $78 | 14% |
| Wc First Agency/Occunet | $78 | 14% |
| Wc Ford Motor | $78 | 14% |
| Wc Fresno Unified Emp | $78 | 14% |
| Wc Gallagher Bassett | $78 | 14% |
| Wc General Motors | $78 | 14% |
| Wc Generic | $78 | 14% |
| Wc Genex Care For Ohio | $78 | 14% |
| Wc Great West Casualty | $78 | 14% |
| Wc Guarantee Insurance | $78 | 14% |
| Wc Guard Insurance Company | $78 | 14% |
| Wc Hab | $78 | 14% |
| Wc Hartford | $78 | 14% |
| Wc Hastings | $78 | 14% |
| Wc Health Management | $78 | 14% |
| Wc Heritage Summit | $78 | 14% |
| Wc Hireright | $78 | 14% |
| Wc Horizon | $78 | 14% |
| Wc Icw Group | $78 | 14% |
| Wc Idaho State Ins Fund | $78 | 14% |
| Wc Intercare Insurance | $78 | 14% |
| Wc Intermountain | $78 | 14% |
| Wc Johns Eastern | $78 | 14% |
| Wc Kemberton | $78 | 14% |
| Wc Key Ins & Benefit Solutions | $78 | 14% |
| Wc Liberty Mutual | $78 | 14% |
| Wc Mac Risk Management | $78 | 14% |
| Wc Massachusetts | $78 | 14% |
| Wc Mdia | $78 | 14% |
| Wc Meadowbrook Claim | $78 | 14% |
| Wc Medical Administrators | $78 | 14% |
| Wc Meijers | $78 | 14% |
| Wc Memic | $78 | 14% |
| Wc Mercy Workcare | $78 | 14% |
| Wc Michigan | $78 | 14% |
| Wc Michigan Millers Mutual | $78 | 14% |
| Wc Mitchell Frankenmuth | $78 | 14% |
| Wc Mra | $78 | 14% |
| Wc Nationwide | $78 | 14% |
| Wc Nca Comp | $78 | 14% |
| Wc New York | $78 | 14% |
| Wc New York Special Funds | $78 | 14% |
| Wc North American Rishces | $78 | 14% |
| Wc Northeast Health | $78 | 14% |
| Wc Notre Dame | $78 | 14% |
| Wc Novanet | $78 | 14% |
| Wc O'Hara Corp | $78 | 14% |
| Wc Occ Health Allen | $78 | 14% |
| Wc Ohio Bureau | $78 | 14% |
| Wc One Call Medical | $78 | 14% |
| Wc Paradigm | $78 | 14% |
| Wc Peerless | $78 | 14% |
| Wc Pma | $78 | 14% |
| Wc Praxis Health Network | $78 | 14% |
| Wc Price Chopper | $78 | 14% |
| Wc Procura Management | $78 | 14% |
| Wc Qualcare | $78 | 14% |
| Wc Quiktrip | $78 | 14% |
| Wc Reny Company | $78 | 14% |
| Wc Rev Claims | $78 | 14% |
| Wc Risico | $78 | 14% |
| Wc Rural Mutual | $78 | 14% |
| Wc Saif Oregon | $78 | 14% |
| Wc Secura | $78 | 14% |
| Wc Sedgwick | $78 | 14% |
| Wc Sentry | $78 | 14% |
| Wc Sheakley Unicomp | $78 | 14% |
| Wc Smile Lodge | $78 | 14% |
| Wc Society | $78 | 14% |
| Wc Srs | $78 | 14% |
| Wc Taconic (Mro) | $78 | 14% |
| Wc Taconic Farms | $78 | 14% |
| Wc Travelers | $78 | 14% |
| Wc Triad Group | $78 | 14% |
| Wc Tristar | $78 | 14% |
| Wc Troy Ny | $78 | 14% |
| Wc Tyson | $78 | 14% |
| Wc Unified Health Services | $78 | 14% |
| Wc United Heartland | $78 | 14% |
| Wc Us Dept Of Labor | $78 | 14% |
| Wc Velocity | $78 | 14% |
| Wc Walmart | $78 | 14% |
| Wc West Bend | $78 | 14% |
| Wc West Bend Mutual/Argent | $78 | 14% |
| Wc Winnebago Industries | $78 | 14% |
| Wc Yankee Trails | $78 | 14% |
| Wc York Risk | $78 | 14% |
| Wc Zenith | $78 | 14% |
| Wc Zurich | $78 | 14% |
| Health America Advantra | $83 - $707 | 15% |
| Prime Healthcare | $90 - $1,060 | 16% |
| Amerihealth | $91 | 16% |
| Bcn Domestic | $91 | 16% |
| Blue Benefit Administrators Of Massachusetts | $91 | 16% |
| Blue Care Network | $91 | 16% |
| Blue Distinction Transplant | $91 | 16% |
| Blue Shield - Ca | $91 | 16% |
| Blue Shield - Id (Regence) | $91 | 16% |
| Blue Shield - Ny Highmark Northeastern | $91 | 16% |
| Blue Shield - Ny Highmark Western | $91 | 16% |
| Blue Shield - Pa (Highmark) | $91 - $1,593 | 16% |
| Blue Shield - Wa (Regence) | $91 | 16% |
| Health Choices | $91 | 16% |
| Kaiser Domestic | $91 | 16% |
| Pre-Employment | $91 | 16% |
| Wc Domestic | $91 | 16% |
| Health Partners | $92 | 16% |
| Jefferson Health Plan Commercial | $92 - $1,072 | 16% |
| Geha | $102 - $1,206 | 18% |
| Oscar | $103 - $1,060 | 18% |
| Homestead Health Plans Woods Center | $135 - $1,149 | 24% |
| Devon Health Services | $148 - $212 | 27% |
| First Health | $148 - $212 | 27% |
| Group Pension Administrators | $156 - $1,325 | 28% |
| Reedman Toll | $156 - $1,325 | 28% |
| Prime Health Services | $157 - $2,051 | 28% |
| Three Rivers Provider Network | $157 - $2,165 | 28% |
| Coventry | $165 - $175 | 30% |
| Health America | $165 - $175 | 30% |
| Meritain | $165 - $2,028 | 30% |
| Multiplan | $165 - $2,051 | 30% |
| Keystone First | $338 | 61% |
| Keystone First Chip | $338 | 61% |
| Upmc Health Plan | $1,534 | 275% |
| Webtpa | $1,534 | 275% |
| Galaxy Health Network | $2,165 | 388% |