CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Porter Hospital Inc

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $202
Cash Discount Price: $762
vs. Medicare Baseline: 0.36x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Porter Hospital Inc is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $762. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.36x the Medicare baseline. Located in 115 Porter Drive, Middlebury, VT.

Cash / Self-Pay

$762

Average discount available for prompt cash payment at this facility.

Insurance Median

$202

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: $762 (136%)

Insurance Median: $202 (36%)

Cash: $762 (136% of Medicare)

Ins. Median: $202 (36% 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
UnitedHealthcare	$45 - $2,312	8%
Mvp	$55 - $2,176	10%
Fidelis Care	$58 - $988	10%
Humana	$61 - $521	11%
Capital District Physicians' Health Plan	$64 - $1,947	11%
Aetna	$65 - $1,097	12%
Martins Point	$65 - $1,097	12%
Veterans Affairs Community Care Network	$65 - $1,097	12%
Veterans Choice	$65 - $1,097	12%
Blue Cross Blue Shield	$74 - $1,959	13%
Harvard Pilgrim	$75 - $1,868	13%
Coventry	$84 - $2,055	15%
Wellpath	$144 - $1,284	26%
Cigna	$145 - $2,124	26%
Medical Corporation	$248 - $2,218	44%
Multiplan	$248 - $2,218	44%

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 $762.
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 Porter Hospital Inc 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.