CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: Children's Hosp of Los Angeles
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $515
- Cash Discount Price: $859
- vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Children's Hosp of Los Angeles is $515. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $859. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.92x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$859
Average discount available for prompt cash payment at this facility.
Insurance Median
$515
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: $859 (154%)
Insurance Median: $515 (92%)
Cash: $859 (154% of Medicare)
Ins. Median: $515 (92% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medi-Cal | $129 - $335 | 23% |
| Molina | $129 - $506 | 23% |
| Inland Empire Health Plan | $129 - $494 | 23% |
| Medicare (plans) | $221 - $692 | 40% |
| Valley Presbyterian Hospital | $240 - $859 | 43% |
| Shriners Hospital | $258 | 46% |
| Medicaid / KanCare | $258 - $859 | 46% |
| La Care | $264 - $859 | 47% |
| St Francis Medical Center | $288 - $859 | 52% |
| Choc Health Alliance | $300 | 54% |
| Altamed | $300 - $859 | 54% |
| Health Net | $300 - $1,074 | 54% |
| Caloptima | $336 - $859 | 60% |
| St. John's Health Clinic | $343 - $412 | 61% |
| Axminster Medical Group | $343 - $412 | 61% |
| Facey Medical Group | $343 - $412 | 61% |
| Incentive Health Network | $344 | 62% |
| Non-Contract Payors | $344 | 62% |
| Beech Street | $344 | 62% |
| Health Care La IPA | $350 - $859 | 63% |
| Watts Healthcare Mmc | $350 - $859 | 63% |
| Centinela Valley IPA | $350 - $859 | 63% |
| Global Care Medical Group | $350 - $859 | 63% |
| Premier Physicians Ntwk | $350 - $859 | 63% |
| El Proyecto Del Barrio | $350 - $859 | 63% |
| Bella Vista Med Grp | $350 - $859 | 63% |
| Community Family Care IPA | $360 - $859 | 64% |
| Hollywood Presbyterian Medical Center | $360 - $859 | 64% |
| Blue Cross Blue Shield | $383 - $859 | 69% |
| Heritage Provider Network | $384 - $859 | 69% |
| Emanate Health Medical Center Mmc | $387 | 69% |
| Serendib Healthways Mmc | $388 - $859 | 70% |
| Kaiser | $400 - $490 | 72% |
| Cigna | $401 | 72% |
| Care 1St | $420 - $859 | 75% |
| White Memorial Medical Center | $420 - $859 | 75% |
| Noble Community Medical Associates | $429 - $859 | 77% |
| Karing Physicians Medical Group | $429 - $859 | 77% |
| Regent Medical Group | $429 - $859 | 77% |
| Pioneer Prov Ntwk | $430 | 77% |
| Citrus Valley Phys Grp | $430 - $558 | 77% |
| Gemcare IPA | $430 | 77% |
| Sansum Clinic | $430 | 77% |
| Staywell Insurance | $430 | 77% |
| Mercy Care | $430 | 77% |
| UnitedHealthcare | $430 - $669 | 77% |
| Managed Care Systems | $430 | 77% |
| Accarent Health | $430 | 77% |
| Exceptional Care Medical Group | $430 - $859 | 77% |
| Primary Care and Pediatric IPA | $432 - $859 | 77% |
| Adventist Health Physicians | $432 - $1,265 | 77% |
| Mabuhay Medical Group | $432 - $859 | 77% |
| Avalon IPA | $432 - $859 | 77% |
| Alhambra Hospital Medical Center | $434 - $859 | 78% |
| Cal Care IPA | $436 - $859 | 78% |
| Associated Hispanic Physicians IPA | $444 - $859 | 80% |
| Gold Coast Health Plan | $444 - $859 | 80% |
| Hispanic Physician IPA | $444 - $859 | 80% |
| Preferred IPA | $446 - $859 | 80% |
| Pacific Alliance Medical Center | $446 - $859 | 80% |
| Aetna | $446 - $472 | 80% |
| Beverly Hospital | $446 - $859 | 80% |
| Book Md | $447 | 80% |
| San Judas Med Grp | $448 - $859 | 80% |
| Los Angeles Medical Center IPA | $448 - $859 | 80% |
| Intl - Global Excel Management | $449 - $558 | 80% |
| Culinary Health Fund | $449 - $472 | 80% |
| Family Health Alliance Med Grp | $453 - $859 | 81% |
| Good Samaritan Medical Group | $455 | 82% |
| Applecare Medical Group | $455 - $859 | 82% |
| Accountable Health | $458 - $859 | 82% |
| Souther California Hosp System - Mmc | $460 - $859 | 82% |
| Cencal Health | $463 - $859 | 83% |
| Blue Shield | $464 - $859 | 83% |
| Family Care Specialists | $465 - $859 | 83% |
| Community Care | $472 | 85% |
| National Healthcare Solutions | $472 | 85% |
| Intl - Quality Health Management | $472 - $558 | 85% |
| Intl - Global Medical Management | $472 | 85% |
| Choice Medical Group | $472 | 85% |
| Employee Health Systems Med Grp | $480 - $859 | 86% |
| Point Comfort Underwriters | $480 | 86% |
| Seaside Health Plan | $480 - $859 | 86% |
| Angeles IPA | $480 - $859 | 86% |
| Crown City Medical Group | $480 - $859 | 86% |
| Intl - Aixin Life Insurance Co | $483 - $558 | 87% |
| Imperial Health Holdings Medical Group | $489 - $859 | 88% |
| Healthy New Life Medical Corp | $501 - $859 | 90% |
| California Pacific Physicians Medical Group | $501 - $859 | 90% |
| Asian Community Medical Group | $501 - $859 | 90% |
| Seoul Medical Group | $507 | 91% |
| Access Medical Group | $507 | 91% |
| Preferred IPA - Commercial | $515 | 92% |
| Providence Health Network | $515 | 92% |
| Emanate Health Medical Center Commercial | $515 | 92% |
| Ventura County Health Plan | $515 | 92% |
| Allied Pacific IPA | $515 - $859 | 92% |
| Private Hlthcare System | $515 | 92% |
| Self-Pay | $515 | 92% |
| Bright Medical Associates | $515 | 92% |
| Delta Health Systems | $515 | 92% |
| Sanus Health | $515 | 92% |
| Community Care IPA Mmc | $530 - $859 | 95% |
| Dignity Health | $532 - $859 | 95% |
| Sierra Health and Life Insurance Company | $538 | 96% |
| Embassy - Saudi Arabia | $558 | 100% |
| Axis Services International | $558 | 100% |
| Prime Health Services | $558 | 100% |
| Cedar Sinai Med Grp | $558 | 100% |
| Calvo Selectcare | $558 | 100% |
| Redlands Community Hospital | $558 | 100% |
| Intl - Erv Travel Services | $558 - $601 | 100% |
| Star Healthcare Network Commercial | $558 | 100% |
| Plotkin Health | $558 | 100% |
| Intl - Msh China Enterprise Services | $558 | 100% |
| Lakewood Health Plan | $558 | 100% |
| Intl - Concierge Healthcare Services | $558 | 100% |
| Serra Community Med Clinic - Commercial | $558 | 100% |
| Marian Health Services | $558 | 100% |
| Superior Choice Medical Group | $587 - $859 | 105% |
| Serra Community Med Clinic | $590 - $859 | 106% |
| Southland San Gabriel Valley Medical Group | $590 - $859 | 106% |
| Kern Family Health Plan | $590 - $859 | 106% |
| Korean American Med Grp | $601 | 108% |
| Memorialcare Med Foundation | $601 | 108% |
| Primecare Medical Network | $601 | 108% |
| Beaver Medical Group | $601 | 108% |
| Multiplan | $601 | 108% |
| Prospect Medical Group | $644 | 115% |
| Interlink Health Services | $644 | 115% |
| Embassy - Kuwait | $644 | 115% |
| Champus | $682 | 122% |
| Self-Pay International | $687 | 123% |
| Embassy - All Others | $687 | 123% |
| Southern Atlantic Medical Group Mmc | $859 - $947 | 154% |