CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,799
Cash Discount Price: $4,856
vs. Medicare Baseline: 3.22x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Geisinger Wyoming Valley Medical Center is $1,799. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,856. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.22x the Medicare baseline. Located in 1000 East Mountain Boulevard, Wilkes Barre, PA.

Cash / Self-Pay

$4,856

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,799

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: $4,856 (870%)

Insurance Median: $1,799 (322%)

Cash: $4,856 (870% of Medicare)

Ins. Median: $1,799 (322% 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 322% of the Medicare baseline (a markup of 222%). 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
Medicaid / KanCare	$141	25%
Geisinger Family Plan	$145	26%
Amerihealth	$162	29%
Upmc For You	$166	30%
Health Partners	$169	30%
Upmc Chip	$176	32%
Geisinger Health Plan	$542 - $1,661	97%
Humana	$542	97%
Life Geisinger	$542	97%
Medicare (plans)	$542 - $612	97%
Prison Health Services	$542	97%
Blue Cross Blue Shield	$547 - $1,818	98%
Ambetter / Centene	$1,787	320%
Cigna	$3,391 - $3,548	607%
Aetna	$3,647 - $5,232	653%
Christian Healthcare Ministries	$3,916	701%
UnitedHealthcare	$4,002	717%
Wyoming Seminary	$5,482	982%
Intergroup Services	$6,657	1192%
Multiplan	$6,657	1192%

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 $4,856.
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 Geisinger Wyoming Valley Medical Center 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.