CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Children's Hospital of Philadelphia

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,089
Cash Discount Price: $8,341
vs. Medicare Baseline: 5.53x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Children's Hospital of Philadelphia is $3,089. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,341. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.53x the Medicare baseline. Located in 3401 Civic Center Blvd, Philadelphia, PA.

Cash / Self-Pay

$8,341

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,089

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: $8,341 (1494%)

Insurance Median: $3,089 (553%)

Cash: $8,341 (1494% of Medicare)

Ins. Median: $3,089 (553% 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 553% of the Medicare baseline (a markup of 453%). 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
Geisinger Medical Assistance	$132	24%
Highmark Wholecare	$147	26%
UnitedHealthcare	$430 - $1,744	77%
Medicaid / KanCare	$1,019 - $1,733	183%
Health Partners	$1,165 - $1,980	209%
Horizon Nj Health	$1,516	272%
Geisinger Health Plan Commercial	$1,562	280%
Aetna	$1,626 - $5,252	291%
Upmc Medical Assistance	$1,687 - $2,867	302%
Keystone First Chip	$1,915 - $3,256	343%
Keystone Health Plan East	$1,953 - $3,321	350%
Blue Cross Blue Shield	$2,181 - $4,208	391%
Jefferson Health Plans	$2,922 - $4,968	523%
Cigna	$3,089 - $5,252	553%
Highmark	$3,089 - $5,252	553%
Qualcare	$3,398 - $5,777	609%
First Health Network	$4,016 - $6,827	719%
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics	$4,942 - $8,403	885%
Private Health Care Systems	$4,942 - $8,403	885%
Choice Care Network	$5,560 - $9,453	996%

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 $8,341.
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 Children's Hospital of Philadelphia 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.