CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Roxborough Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $587
Cash Discount Price: $558
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Roxborough Memorial Hospital is $587. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $558. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.05x the Medicare baseline. Located in 5800 Ridge Ave, Philadelphia, PA.

Cash / Self-Pay

$558

Average discount available for prompt cash payment at this facility.

Insurance Median

$587

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: $558 (100%)

Insurance Median: $587 (105%)

Cash: $558 (100% of Medicare)

Ins. Median: $587 (105% 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
Health Partners Plan	$98 - $838	18%
Medicaid / KanCare	$98	18%
Keystone	$104 - $581	19%
UnitedHealthcare	$111 - $1,168	20%
Humana	$447	80%
Blue Cross Blue Shield	$559 - $1,723	100%
Medicare (plans)	$559 - $587	100%
Pa Health & Wellness	$559 - $670	100%
Tricare	$559	100%
Providers Partner Health Plan	$575	103%
Spartan	$587	105%
Auto Insurance	$614	110%
Worker Compensation	$631	113%
Employer Direct Healthcare	$782	140%
Naphcare	$866	155%
Highmark	$1,217	218%
Cigna	$1,321	237%

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 $558.
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 Roxborough Memorial 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.