CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Gifford Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,003
Cash Discount Price: $1,209
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Gifford Medical Center is $1,003. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,209. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.80x the Medicare baseline. Located in 44 South Main Street, Randolph, VT.

Cash / Self-Pay

$1,209

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,003

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: $1,209 (217%)

Insurance Median: $1,003 (180%)

Cash: $1,209 (217% of Medicare)

Ins. Median: $1,003 (180% 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
Martins Point Health Care	$186 - $1,413	33%
Mvp Health Care Of Ny	$186 - $2,670	33%
UnitedHealthcare	$186 - $2,984	33%
Blue Cross Blue Shield	$191 - $2,814	34%
Harvard Pilgrim Health Care	$299 - $2,513	54%
Cigna	$436 - $2,513	78%
Multiplan	$673 - $2,921	121%
Aetna	$681 - $2,984	122%

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 $1,209.
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 Gifford Medical Center 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.