CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Astria Sunnyside Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,325
Cash Discount Price: $1,469
vs. Medicare Baseline: 2.37x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Astria Sunnyside Hospital is $1,325. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,469. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.37x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$1,469

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,325

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: $1,469 (263%)

Insurance Median: $1,325 (237%)

Cash: $1,469 (263% of Medicare)

Ins. Median: $1,325 (237% 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 237% of the Medicare baseline (a markup of 137%). 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
Medicare (plans)	$232 - $651	42%
Aetna	$632 - $2,268	113%
Healthcomp_Ihs	$632	113%
Humana	$632 - $2,319	113%
Medicaid / KanCare	$632 - $790	113%
Molina	$632	113%
Va	$632	113%
Tricare	$638	114%
Regence	$1,325	237%
Cigna	$1,546	277%
Li	$1,582	283%
First_Choice	$1,933	346%
Tpsc	$2,010	360%
Kaiser	$2,023	362%
Premera	$2,098	376%
UnitedHealthcare	$2,190	392%
Fhpw	$2,268	406%
Healthcomp	$2,319	415%
Bcchp	$2,577	462%
Great_Rivers	$2,577	462%
Zenith	$2,577	462%

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 $1,469.
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 Astria Sunnyside 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.