CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: UPMC Kane

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $648
Cash Discount Price: $1,049
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at UPMC Kane is $648. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,049. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.16x the Medicare baseline. Located in 4372 Route 6, Kane, PA.

Cash / Self-Pay

$1,049

Average discount available for prompt cash payment at this facility.

Insurance Median

$648

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: $1,049 (188%)

Insurance Median: $648 (116%)

Cash: $1,049 (188% of Medicare)

Ins. Median: $648 (116% 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
UPMC Health Plan	$155 - $764	28%
Aetna	$155 - $673	28%
UnitedHealthcare	$162 - $857	29%
Geisinger	$196	35%
Highmark Wholecare (Prev Gateway)	$209 - $665	37%
Amerihealth Caritas	$220 - $699	39%
PA Health & Wellness	$240	43%
UPMC Work Partners	$396	71%
Focus Healthcare	$438 - $1,662	78%
Blue Cross Blue Shield	$525 - $647	94%
Cigna	$1,224 - $39,373	219%
Horizon Health Plan	$1,224	219%
Multiplan	$1,312	235%
Health Coalition Partners	$1,399	251%
Intergroup	$1,399	251%

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 $1,049.
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 Kane 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.