CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: UPMC Muncy

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,997
Cash Discount Price: $2,265
vs. Medicare Baseline: 3.58x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at UPMC Muncy is $1,997. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,265. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.58x the Medicare baseline. Located in 215 East Water Street, Muncy, PA.

Cash / Self-Pay

$2,265

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,997

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: $2,265 (406%)

Insurance Median: $1,997 (358%)

Cash: $2,265 (406% of Medicare)

Ins. Median: $1,997 (358% 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 358% of the Medicare baseline (a markup of 258%). 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
UnitedHealthcare	$126 - $2,582	23%
Geisinger	$155 - $2,529	28%
Upmc Health Plan	$155 - $1,646	28%
Highmark Wholecare (Prev Gateway)	$157 - $566	28%
Amerihealth Caritas	$159 - $2,208	28%
Pa Health & Wellness	$240 - $2,316	43%
Upmc Work Partners	$396	71%
Three Rivers Provider Network	$424 - $3,398	76%
Cigna	$595 - $2,586	107%
Blue Cross Blue Shield	$1,481 - $1,744	265%
Aetna	$1,531 - $2,492	274%
Coventry/First Health	$1,891 - $2,541	339%
Wirerope Works	$2,099	376%
Multiplan	$2,944 - $3,586	527%
America'S Choice	$3,020	541%
Intergroup	$3,020	541%

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 $2,265.
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 UPMC Muncy 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.