CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Penn State Health Lancaster Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,793
Cash Discount Price: $1,261
vs. Medicare Baseline: 3.21x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Penn State Health Lancaster Medical Center is $1,793. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,261. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.21x the Medicare baseline. Located in 2160 State Road, Lancaster, PA.

Cash / Self-Pay

$1,261

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,793

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: $1,261 (226%)

Insurance Median: $1,793 (321%)

Cash: $1,261 (226% of Medicare)

Ins. Median: $1,793 (321% 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 321% of the Medicare baseline (a markup of 221%). 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]	$456 - $536	82%
[Highmark Wholecare]	$456 - $536	82%
[Geisinger]	$483 - $3,422	87%
[Health Partners Plans]	$499 - $547	89%
[Pa Health & Wellness]	$501 - $552	90%
[Highmark]	$531 - $2,343	95%
UnitedHealthcare	$536 - $3,215	96%
[Cbc]	$536 - $2,584	96%
Aetna	$542 - $3,086	97%
Humana	$542	97%
[Healthspring]	$542	97%
[Upmc]	$547 - $3,794	98%
[Point Comfort Underwriters]	$670	120%
[Highmark Choice Blue]	$1,875	336%
[Highmark Aca]	$1,968	353%
Cigna	$2,187 - $3,150	392%
[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 $1,261.
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 Lancaster 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.