CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Penn State Health Hampden Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,780
Cash Discount Price: $1,369
vs. Medicare Baseline: 3.19x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Penn State Health Hampden Medical Center is $1,780. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,369. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.19x the Medicare baseline. Located in 2200 Good Hope Road, Enola, PA.

Cash / Self-Pay

$1,369

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,780

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: $1,369 (245%)

Insurance Median: $1,780 (319%)

Cash: $1,369 (245% of Medicare)

Ins. Median: $1,780 (319% 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 319% of the Medicare baseline (a markup of 219%). 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
[Amerihealth Caritas]	$454 - $534	81%
[Highmark Wholecare]	$454 - $534	81%
[Geisinger]	$481 - $3,427	86%
[Health Partners Plans]	$497 - $545	89%
[Pa Health & Wellness]	$499 - $550	89%
[Highmark]	$529 - $2,282	95%
UnitedHealthcare	$534 - $3,204	96%
[Cbc]	$534 - $2,565	96%
Aetna	$539 - $3,086	97%
Humana	$539	97%
[Healthspring]	$539	97%
[Upmc]	$545 - $3,794	98%
[Point Comfort Underwriters]	$668	120%
[Highmark Choice Blue]	$1,826	327%
[Highmark Aca]	$1,917	343%
Cigna	$2,187 - $3,150	392%
[Preferred Healthcare Systems]	$2,673 - $3,851	479%
[First Health]	$2,851 - $4,108	511%
[Multiplan]	$2,851 - $4,108	511%

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 $1,369.
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 Penn State Health Hampden 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.