CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: The Heart Hospital Baylor Denton

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,048
Cash Discount Price: $2,590
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at The Heart Hospital Baylor Denton is $1,048. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,590. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.88x the Medicare baseline. Located in 2801 South Mayhill Road, Denton, TX.

Cash / Self-Pay

$2,590

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,048

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: $2,590 (464%)

Insurance Median: $1,048 (188%)

Cash: $2,590 (464% of Medicare)

Ins. Median: $1,048 (188% 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
Blue Cross Blue Shield	$393 - $832	70%
Superior Health Plan	$475 - $531	85%
Baylor Scott & White Health Plan	$481 - $2,503	86%
Humana	$506 - $3,021	91%
Triwest	$506	91%
Corvel	$530	95%
Prime Health Services	$530	95%
American Health Plan	$531	95%
Healthspring	$531	95%
Procare Advantage	$531	95%
UnitedHealthcare	$582 - $2,982	104%
Aetna	$892	160%
Ambetter / Centene	$1,048	188%
Cigna	$2,128 - $2,503	381%
Employers Health Network	$2,374	425%
Quiktrip	$2,374	425%
University Of Mary Hardin-Baylor	$2,503	448%
Imagine Health	$2,704	484%
Curative	$2,805	502%
First Health	$3,021	541%
Healthsmart	$3,021 - $3,237	541%
Private Health Care System	$3,237	580%

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 $2,590.
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 The Heart Hospital Baylor Denton 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.