CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Luke's Sugar Land Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,176
Cash Discount Price: $2,651
vs. Medicare Baseline: 2.11x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Luke's Sugar Land Hospital is $1,176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,651. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.11x the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.

Cash / Self-Pay

$2,651

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,176

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: $2,651 (475%)

Insurance Median: $1,176 (211%)

Cash: $2,651 (475% of Medicare)

Ins. Median: $1,176 (211% 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 211% of the Medicare baseline (a markup of 111%). 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
Cigna	$100 - $5,302	18%
Blue Cross Blue Shield	$198 - $549	35%
Renaissance	$395	71%
Kelsey	$479	86%
Humana	$549 - $4,924	98%
Selectcare	$549	98%
Aetna	$560 - $846	100%
UnitedHealthcare	$560 - $6,258	100%
Amerivantage	$566	101%
Devoted	$588	105%
Scanhealth	$588	105%
Kindred	$604	108%
United	$717 - $3,560	128%
Kelseycare	$741	133%
Bright Health	$808	145%
Community Health Choice	$824	148%
Superior Health Plan	$824	148%
Wellpoint	$824	148%
Nx Health	$1,785	320%
Tchpchip	$2,651 - $3,257	475%
Chc	$4,166	746%
Texastruechoice	$4,166	746%
Coventry	$4,924	882%
First Health	$4,924	882%
Healthsmart	$5,302	950%
Interlink	$5,302	950%
Multiplan	$5,681	1018%
USA Health Network	$6,439	1153%
Mhealth Network	$7,575	1357%

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 $2,651.
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 St Luke's Sugar Land Hospital 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.