CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Wellspan Surgery and Rehabilitation Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,338
Cash Discount Price: $3,666
vs. Medicare Baseline: 2.40x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Wellspan Surgery and Rehabilitation Hospital is $1,338. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,666. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.40x the Medicare baseline. Located in 55 Monument Road, York, PA.

Cash / Self-Pay

$3,666

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,338

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: $3,666 (657%)

Insurance Median: $1,338 (240%)

Cash: $3,666 (657% of Medicare)

Ins. Median: $1,338 (240% 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 240% of the Medicare baseline (a markup of 140%). 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	$123 - $1,338	22%
Aetna	$479 - $4,056	86%
Johns_Hopkins_Healthcare_Plan	$531 - $4,354	95%
Medicare (plans)	$531 - $922	95%
Highmark	$812 - $3,810	145%
Blue_Cross	$2,573 - $4,108	461%
First_Health_Network	$3,822 - $4,056	685%
Cigna	$4,108 - $4,171	736%
United_Healthcare	$4,161	745%
Wellspan_Capital_Blue_Cross	$4,216	755%
Upmc	$4,262	763%
Geisinger	$4,292	769%
Phc	$4,354 - $4,446	780%

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 $3,666.
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 Wellspan Surgery and Rehabilitation 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.