CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Texas Health Presbyterian Hospital Allen

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,232
Cash Discount Price: $1,859
vs. Medicare Baseline: 2.21x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Texas Health Presbyterian Hospital Allen is $1,232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,859. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.21x the Medicare baseline. Located in 1105 Central Expressway North, Allen, TX.

Cash / Self-Pay

$1,859

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,232

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: $1,859 (333%)

Insurance Median: $1,232 (221%)

Cash: $1,859 (333% of Medicare)

Ins. Median: $1,232 (221% 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 221% of the Medicare baseline (a markup of 121%). 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
Blue Cross Blue Shield	$165 - $1,002	30%
Amerigroup	$357 - $576	64%
Parkland	$357	64%
UnitedHealthcare	$357 - $1,192	64%
Superior Wellcare	$375 - $604	67%
Molina	$386 - $576	69%
American Health	$549	98%
Healthspring	$560	100%
Humana	$571	102%
Fort Worth Firefighters	$746 - $1,892	134%
Aetna	$1,272 - $2,172	228%
City Of Fort Worth	$1,457	261%
Cigna	$1,713 - $2,916	307%
Quick Trip	$2,200	394%
Healthsmart	$2,324 - $2,603	416%
Phcs	$2,591	464%
Multiplan	$2,696	483%
Galaxy	$2,727	488%
Usa	$2,727	488%

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 $1,859.
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 Texas Health Presbyterian Hospital Allen 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.