CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mon Health Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,736
Cash Discount Price: $2,075
vs. Medicare Baseline: 6.69x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mon Health Medical Center is $3,736. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,075. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 6.69x the Medicare baseline. Located in 1200 Jd Anderson Drive, Morgantown, WV.

Cash / Self-Pay

$2,075

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,736

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: $2,075 (372%)

Insurance Median: $3,736 (669%)

Cash: $2,075 (372% of Medicare)

Ins. Median: $3,736 (669% 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 669% of the Medicare baseline (a markup of 569%). 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
Unison_Plan	$98	18%
Gateway_Health_Plan	$108	19%
Zelis_Other_Plan	$449	80%
The_Health_Plan_Peia_Plan	$498	89%
Aetna	$529 - $3,434	95%
Blue Cross Blue Shield	$529 - $2,563	95%
Health_South_Mountain_View_Plan	$529	95%
Humana	$529 - $3,863	95%
Medicare (plans)	$529	95%
Paramount_Elite_Plan	$529	95%
Uhc_Va_Plan	$529	95%
Zelis_Group_Health_Plan	$529	95%
Seven_Corners_Plan	$1,057	189%
Maryland_Physicians_Care_Plan	$2,905 - $3,005	520%
The_Health_Plan_Murray_Energy_Commercial_Aso_Plan	$3,320 - $3,434	595%
The_Health_Plan_Plan	$3,570 - $3,692	639%
Acpn_Plan	$3,736 - $3,863	669%
Cigna	$3,736 - $3,863	669%
Mon_County_Commission_Plan	$3,736 - $3,863	669%
Uhc_Plan	$3,736 - $3,863	669%
Health_Payors_Organization_Plan	$3,819 - $3,949	684%
Uhc_Options_Ppo_Plan	$3,860 - $3,992	691%
Multiplan_Phcs_Plan	$3,943 - $4,078	706%
Mutual_Of_Omaha_Plan	$3,943 - $4,078	706%
Geha_Plan	$4,026 - $4,164	721%
Three_Rivers_Plan	$4,026 - $4,164	721%
Uhc_Onenet_Ppo_Plan	$4,026 - $4,164	721%
Upmc__Plan	$4,026 - $4,164	721%

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 $2,075.
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 Mon Health 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.