CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Texas Childrens Hospital North Austin Campus

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,620
Cash Discount Price: $2,743
vs. Medicare Baseline: 4.69x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Texas Childrens Hospital North Austin Campus is $2,620. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,743. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.69x the Medicare baseline. Located in 9835 North Lake Creek Parkway Bldg A, Austin, TX.

Cash / Self-Pay

$2,743

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,620

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: $2,743 (491%)

Insurance Median: $2,620 (469%)

Cash: $2,743 (491% of Medicare)

Ins. Median: $2,620 (469% 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 469% of the Medicare baseline (a markup of 369%). 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
First Care Health Plan	$1,105 - $2,621	198%
UnitedHealthcare	$1,105 - $2,621	198%
Driscoll Children'S Health Plan Mcd	$1,228	220%
Molina Mcd	$1,228	220%
Blue Cross Blue Shield	$1,433 - $2,580	257%
Community Health Choice	$1,445 - $2,621	259%
Community First Health Plan Mcd	$1,637 - $1,638	293%
Cook Children'S Health Plan	$1,637 - $1,638	293%
Cigna	$2,333 - $2,621	418%
Aetna	$2,620 - $2,621	469%
Kelseycare	$2,660 - $2,662	476%
Healthsmart	$2,865 - $2,866	513%
Evolutions Healthcare	$3,070 - $3,071	550%
First Health	$3,602 - $3,890	645%
Multiplan	$3,684 - $3,686	660%
Galaxy Health Network	$3,888 - $3,890	696%

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 $2,743.
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 Childrens Hospital North Austin Campus 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.