CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Mercy Hospital of Buffalo

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $171
  • Cash Discount Price: $664
  • vs. Medicare Baseline: 0.31x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Mercy Hospital of Buffalo is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $664. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.31x the Medicare baseline. Located in 565 Abbott Road, Buffalo, NY.
Cash / Self-Pay
$664

Average discount available for prompt cash payment at this facility.

Insurance Median
$171

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: $664 (119%)
Insurance Median: $171 (31%)
Cash: $664 (119% of Medicare)
Ins. Median: $171 (31% 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.

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 $46 - $255 8%
Medicaid / KanCare $54 - $617 10%
Crime Victims [100176] $56 - $214 10%
Independent Health Essential [100166] $56 - $740 10%
Tuscarora Nation [550120] $56 - $214 10%
Excellus Rochester McD [350117] $56 - $214 10%
Vna Option Mltc [350110] $56 - $214 10%
Blue Cross Blue Shield $56 - $469 10%
Amerigroup [350102] $56 - $214 10%
Univera Healthcare [100169] $57 - $277 10%
Univera Healthcare Essential [100170] $57 - $250 10%
VA Veterans Affairs [700001] $59 - $188 11%
Beacon Essential [350122] $59 - $226 11%
Fidelis Essential [100163] $59 - $469 11%
Ghi [100153] $63 - $179 11%
Medicare (plans) $65 - $895 12%
Hospice [550001] $66 - $188 12%
Aetna $66 - $197 12%
Magnacare [100142] $66 - $188 12%
Cigna $66 - $273 12%
Covid19 Hrsa [45013] $66 - $188 12%
Fallon Health [450115] $66 - $188 12%
Catholic Health Life Pace [400005] $66 - $188 12%
Seneca Nation [450119] $66 - $188 12%
Humana $66 - $197 12%
Tricare $66 - $188 12%
Champ VA [700002] $66 - $188 12%
Meritain [100063] $66 - $188 12%
Fidelis Dual Advantage [450120] $69 - $197 12%
Wellcare Fidelis Dual [450451] $69 - $197 12%
Wellcare [450129] $73 - $207 13%
UPMC Health Plan [100181] $74 - $338 13%
Iha First Choice [800001] $75 - $1,243 13%
Independent Health [100165] $75 - $1,482 13%
Beacon Health Options [100023] $79 - $226 14%
Fidelis Exchange [100164] $79 - $226 14%
Mvp Healthcare [100168] $91 - $253 16%
Molina Essential [100167] $126 - $480 23%
No Fault [114001] $171 - $633 31%
Federal Workers Compensation [500100] $171 - $633 31%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 565 Abbott Road, Buffalo, NY 14220
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals