CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Forbes Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $172
Cash Discount Price: $1,540
vs. Medicare Baseline: 0.31x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Forbes Hospital is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,540. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.31x the Medicare baseline. Located in 2570 Haymaker Road, Monroeville, PA.

Cash / Self-Pay

$1,540

Average discount available for prompt cash payment at this facility.

Insurance Median

$172

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: $1,540 (276%)

Insurance Median: $172 (31%)

Cash: $1,540 (276% of Medicare)

Ins. Median: $172 (31% 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
Amerihealth	$45 - $554	8%
Univera	$56 - $270	10%
Pennsylvania Health And Wellness	$57 - $212	10%
Geisinger	$62 - $226	11%
UnitedHealthcare	$62 - $1,666	11%
Highmark	$82 - $1,031	15%
Cigna	$109 - $1,230	20%
Aetna	$118 - $1,503	21%
Highmark Wholecare	$135 - $559	24%
Martin'S Point	$341 - $630	61%
American Health Plans	$527	94%
Life Pittsburgh	$527	94%
Medicare (plans)	$543	97%
Humana	$559	100%
Molina	$575	103%
University Of Pittsburgh Medical Center	$1,080 - $1,551	193%
Medical Mutual	$1,540	276%

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 $1,540.
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 Forbes 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.