Hospital outpatient department
The test at a hospital outpatient department.
What to check: Hospital files list a facility charge separately from the reading physician.
What each route pays, from the published files
Echocardiogram Cost in the USA: Hospital Cash Price, Insurance and Medicare
What US hospitals publish as their cash price for a complete echocardiogram with Doppler, the spread of rates they negotiated with insurers, and what Medicare pays, per billing code and with the file each figure was read from.
What is priced: The whole test under one code. A line for only the reading physician’s part or only the scan itself prices a component and is not counted, and the hospital’s facility charge is kept apart from any professional charge.
Peter Langdon · TreatCompare editor — healthcare price research
Important information for US visitors
This page is general consumer information about published US hospital charges and Medicare fee schedules. It is not insurance advice, billing advice, legal advice, tax advice, or medical advice. The calculator does arithmetic on numbers you enter; an actual bill depends on your plan, network status, prior authorization, separate professional and facility fees, and the code billed. Check any quoted price and your share with your provider and your insurer before booking care.
Could paying cash for an echocardiogram cost less than using insurance?
It can. Compare the provider’s written cash quote with your own share under your plan (deductible left, coinsurance, copay, out-of-pocket limit), not with the hospital’s gross charge. For code 93306, the median hospital cash price in the files read is $1,883 across 60 hospitals.
How each route pays for an Echocardiogram
One billing code, 93306 (Echocardiogram, complete, with Doppler), so every figure prices the same service. Other codes are in the tables below. Waiting times are not published by any official US source.
| Route | What it covers | Wait | Price | Source |
|---|---|---|---|---|
| Original Medicare (Part B)Code 93306: Echocardiogram, complete, with Doppler | After the Part B deductible, the patient usually pays 20% of the Medicare-approved amount.Where the provider accepts the Medicare-approved amount as full payment. The deductible is in the Medicare table below. | Not publishedNo official US source publishes waiting times for this procedure. | $196.73What Medicare pays. National amount for the scan and the read together in an office or independent imaging setting. What Medicare pays a hospital outpatient department is not shown. |
|
| MedicaidSet by each state | Not trackedEach state sets what its Medicaid program covers and pays. State Medicaid fee schedules have not been read. | Not publishedNo official US source publishes waiting times for this procedure. | Not tracked | None for this row |
| Employer or Marketplace health planCode 93306: Echocardiogram, complete, with Doppler. Hospital negotiated rates, no payer named | A Marketplace plan caps in-network out-of-pocket costs at $10,600 for an individual (plan year 2026).Premiums, services the plan does not cover and out-of-network care do not count toward it. | Not publishedNo official US source publishes waiting times for this procedure. | $855Median of 69 hospitals' middle negotiated rates, facility charge only, across 1,623 payer contracts; no payer is named. |
|
| Self-pay at a hospitalCode 93306: Echocardiogram, complete, with Doppler. Discounted cash price | Uninsured and self-pay patients are entitled to a Good Faith Estimate of expected charges when they schedule or ask. | Not publishedNo official US source publishes waiting times for this procedure. | $1,883Median of 60 hospitals' discounted cash prices, facility charge only. |
|
| Self-pay at an independent imaging centerPrices on the provider’s own site | Not tracked | Not publishedNo official US source publishes waiting times for this procedure. | Not trackedNo independent imaging center’s own price page has been read. | None for this row |
Hospital figures are facility charges from each hospital’s own file; the physician’s bill is separate. Medicare amounts are national, before geographic adjustment. The whole test under one code. A line for only the reading physician’s part or only the scan itself prices a component and is not counted, and the hospital’s facility charge is kept apart from any professional charge.
Two parts
Scan and reading
The scan and the cardiologist’s reading can be billed together or separately.
Billing code
Complete study
A complete echocardiogram with Doppler is one code; limited studies are billed under others.
Setting
Hospital or office
A hospital outpatient department and a cardiology office bill differently.
What hospitals publish for an Echocardiogram, by billing code
Read from each hospital’s standard-charge file, which federal rules (45 CFR 180.50) require it to publish. One figure per hospital and code, the hospital’s facility charge. A median is given only where at least 4 hospitals publish; below that each hospital is named with its own figure. Cash prices and negotiated rates are never combined, and no insurer is named.
93 of 238 hospitals in our source registry for the US publish a figure for these codes in the files read.
Across all procedures: 183 of 238 hospitals, 51 of 51 states.
| Code | Hospital cash price | Hospital negotiated rates | What Medicare pays (national) |
|---|---|---|---|
| 93306Echocardiogram, complete, with Doppler | Median $1,88360 hospitals; lowest $415, highest $5,935 | Median $85569 hospitals; lowest $396, highest $3,596 | $196.73Office or imaging-center setting |
The negotiated figure for each hospital is the middle of the rates it lists across its payers. It is what an insurer pays the hospital, not what a patient on that plan pays. The lowest and highest figures are single hospitals’ and are shown so they can be checked against the file.
Code 93306: every hospital and its file
| Hospital | Cash price | Negotiated (middle; no payer named) | File, read |
|---|---|---|---|
| AdventHealth OrlandoOrlando, FL | $5,002 | $6056 payers | urldefense.comread 2026-11-06; file dated 2026-04-01 |
| Banner - University Medical Center PhoenixPhoenix, AZ | $659 | $58428 payers | images.pricetransparency.healthcareread 2026-11-06; file dated 2026-09-25 |
| Baptist Health Princeton HospitalBirmingham, AL | $5,749 | $5004 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Baptist Memorial Hospital-DeSotoSouthaven, MS | $793 | $90484 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Bayhealth Medical Center Kent CampusDover, DE | $2,776 | $6224 payers | bayhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Beaumont Hospital Royal OakRoyal Oak, MI | $2,260 | $5447 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Central Vermont Medical CenterBerlin, VT | $2,791 | $2,01012 payers | uvmhealth.orgread 2026-11-06; file dated 2026-10-01 |
| Cheyenne Regional Medical CenterCheyenne, WY | $3,025 | $3,59610 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-25 |
| Cleveland Clinic FloridaWeston, FL | $2,562 | $1,12322 payers | clevelandclinic.pt.panaceainc.comread 2026-11-06; file dated 2026-06-15 |
| Corewell Health Butterworth HospitalGrand Rapids, MI | $1,169 | $5723 payers | assets.contentstack.ioread 2026-11-06; file dated 2026-05-01 |
| Covenant Health Hobbs HospitalHobbs, NM | $2,306 | $5696 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Denver Health Medical CenterDenver, CO | $955 | $5767 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-04-30 |
| Duke University HospitalDurham, NC | $1,010 | $94015 payers | rca.elevatepfs.comread 2026-11-06; file dated 2026-04-01 |
| Elliot HospitalManchester, NH | $1,251 | $6455 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Emory University HospitalAtlanta, GA | $4,390 | $5657 payers | emoryhealthcare.orgread 2026-11-06; file dated 2026-04-01 |
| Endeavor Health Evanston HospitalEvanston, IL | $3,756 | $7272 payers | endeavorhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Eskenazi HealthIndianapolis, IN | $2,581 | $57815 payers | eskenazihealth.eduread 2026-11-06; file dated 2026-03-01 |
| Essentia Health-FargoFargo, ND | Not counted | $54826 payers | essentiahealth.orgread 2026-11-06; file dated 2026-01-01 |
| Grady Memorial HospitalAtlanta, GA | $5,169 | $84118 payers | gradyhealth.orgread 2026-11-06; file dated 2026-01-01 |
| HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ | $2,800 | $5057 payers | honorhealth.comread 2026-11-06; file dated 2026-04-01 |
| Houston Methodist HospitalHouston, TX | $1,429 | $5769 payers | houstonmethodist.orgread 2026-11-06; file dated 2026-04-01 |
| INTEGRIS Baptist Medical CenterOklahoma City, OK | $1,265 | $5364 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| Jersey Shore University Medical CenterNeptune, NJ | $607 | $3,12420 payers | hackensackmeridianhealth.orgread 2026-11-06; file dated 2025-12-31 |
| Lovelace Medical CenterAlbuquerque, NM | $678 | $2,03528 payers | cdn.ardenthealthservices.comread 2026-11-06; file dated 2026-03-31 |
| MD Anderson Cancer CenterHouston, TX | Not counted | $2,11825 payers | mdanderson.orgread 2026-11-06; file dated 2026-10-01 |
| MedStar Georgetown University HospitalWashington, DC | $2,912 | $1,08520 payers | medstarhealth.orgread 2026-11-06; file dated 2026-04-01 |
| MedStar Washington Hospital CenterWashington, DC | $1,866 | $1,01422 payers | medstarhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Memorial Hermann-Texas Medical CenterHouston, TX | $1,776 | $8234 payers | memorialhermann.orgread 2026-11-06; file dated 2026-04-01 |
| Memorial Medical Center Las CrucesLas Cruces, NM | $2,667 | $3,1121 payers | mmclc.orgread 2026-11-06; file dated 2026-07-10 |
| Mercy Hospital Fort SmithFort Smith, AR | $2,031 | $519106 payers | mercy.netread 2026-11-06; file dated 2026-06-08 |
| Mercy Hospital Oklahoma CityOklahoma City, OK | $5,381 | $1,40590 payers | mercy.netread 2026-11-06; file dated 2026-06-12 |
| Mercy Hospital SpringfieldSpringfield, MO | $2,581 | $1,569100 payers | mercy.netread 2026-11-06; file dated 2026-06-04 |
| Mercy Hospital St. LouisSt. Louis, MO | $3,895 | $1,56488 payers | mercy.netread 2026-11-06; file dated 2026-06-04 |
| MercyOne Des Moines Medical CenterDes Moines, IA | Not counted | $558109 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| MetroHealth Medical CenterCleveland, OH | $1,260 | $72412 payers | metrohealth.orgread 2026-11-06; file dated 2026-04-01 |
| Mississippi Baptist Medical CenterJackson, MS | $699 | $89668 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-25 |
| Nashville General HospitalNashville, TN | $1,571 | $5508 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-09-01 |
| NEA Baptist Memorial HospitalJonesboro, AR | $415 | $75874 payers | sites.bmhcc.orgread 2026-11-06; file dated 2026-02-27 |
| Newport HospitalNewport, RI | Not counted | $9075 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| North Memorial Health HospitalRobbinsdale, MN | $784 | $92514 payers | northmemorial.comread 2026-11-06; file dated 2026-09-25 |
| North Mississippi Medical CenterTupelo, MS | $1,056 | $8558 payers | apps.nmhs.netread 2026-11-06; file dated 2026-04-01 |
| Northern Light Eastern Maine Medical CenterBangor, ME | $567 | $1,7558 payers | northernlighthealth.orgread 2026-11-06; file dated 2026-02-03 |
| Northern Light Mercy HospitalPortland, ME | Not counted | $5467 payers | northernlighthealth.orgread 2026-11-06; file dated 2026-04-15 |
| Porter Medical CenterMiddlebury, VT | $2,335 | $1,28417 payers | uvmhealth.orgread 2026-11-06; file dated 2026-04-28 |
| ProMedica Toledo HospitalToledo, OH | $3,793 | $2,27626 payers | promedica.canto.comread 2026-11-06; file dated 2026-03-25 |
| Providence Alaska Medical CenterAnchorage, AK | $5,479 | $1,0461 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Regional Medical Center EverettEverett, WA | $955 | $1,12010 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Providence Sacred Heart Medical CenterSpokane, WA | $1,408 | $1,10811 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Rhode Island HospitalProvidence, RI | Not counted | $1,1415 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| Saint Alphonsus Regional Medical CenterBoise, ID | $1,817 | $1,349138 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital and Medical CenterHartford, CT | $1,598 | $2,277127 payers | hpt.trinity-health.orgread 2026-11-06; file dated 2026-03-31 |
| Saint Francis Hospital TulsaTulsa, OK | $1,087 | $9873 payers | saintfrancis.comread 2026-11-06; file dated 2026-04-01 |
| Sanford Aberdeen Medical CenterAberdeen, SD | $2,230 | $1,53314 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-04 |
| South County HospitalWakefield, RI | $1,158 | $3963 payers | stdidsouthcountyhealprod.blob.core.windows.netread 2026-11-06; file dated 2026-07-24 |
| Southwestern Vermont Medical CenterBennington, VT | $3,042 | $1,58212 payers | svmc.orgread 2026-11-06; file dated 2026-10-15 |
| St. Patrick HospitalMissoula, MT | $1,156 | $5695 payers | pricetransparency.providence.orgread 2026-11-06; file dated 2026-04-01 |
| Stanford HospitalStanford, CA | $4,826 | $8041 payers | stanfordhealthcare.orgread 2026-11-06; file dated 2026-04-01 |
| The Miriam HospitalProvidence, RI | Not counted | $1,1236 payers | brownhealth.orgread 2026-11-06; file dated 2026-04-01 |
| The Mount Sinai HospitalNew York, NY | $3,281 | $6825 payers | mountsinai.orgread 2026-11-06; file dated 2026-04-01 |
| The Queen's Medical CenterHonolulu, HI | $869 | $6428 payers | queens.orgread 2026-11-06; file dated 2026-03-11 |
| Trinity HospitalsMinot, ND | $925 | $5581 payers | hospitalpricedisclosure.comread 2026-11-06; file dated 2026-04-01 |
| UConn Health, Waterbury HospitalWaterbury, CT | $1,900 | $1,5017 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-05-13 |
| UCSF Medical CenterSan Francisco, CA | Not counted | $9995 payers | app.box.comread 2026-11-06; file dated 2026-04-01 |
| United Hospital CenterBridgeport, WV | $1,221 | $59122 payers | wvumedicine.orgread 2026-11-06; file dated 2026-07-10 |
| University of Chicago Medical CenterChicago, IL | $5,935 | $6733 payers | edge.sitecorecloud.ioread 2026-11-06; file dated 2026-04-01 |
| University of Michigan Health SystemAnn Arbor, MI | $1,315 | $2,30224 payers | uofmhealth.orgread 2026-11-06; file dated 2026-03-31 |
| University of Vermont Medical CenterBurlington, VT | $2,807 | $1,40417 payers | uvmhealth.orgread 2026-11-06; file dated 2026-10-12 |
| UT Southwestern University HospitalsDallas, TX | $1,900 | $74622 payers | sthpiprd.blob.core.windows.netread 2026-11-06; file dated 2026-03-10 |
| Vanderbilt University Medical CenterNashville, TN | Not counted | $59012 payers | finance.vumc.orgread 2026-11-06; file dated 2026-10-01 |
Not counted, because the file lists several different charge lines for this code: Abbott Northwestern Hospital (MN, 3 lines); Advocate Christ Medical Center (IL, 3 lines); Aurora St. Luke's Medical Center (WI, 2 lines); Beebe Medical Center (DE, 2 lines); Christiana Hospital (DE, 2 lines); Hackensack University Medical Center (NJ, 2 lines); Hospital of the University of Pennsylvania (PA, 2 lines); Legacy Emanuel Medical Center (OR, 2 lines); MercyOne Des Moines Medical Center (IA, 2 lines); MUSC Health University Medical Center (SC, 2 lines); Nebraska Methodist Hospital (NE, 3 lines); OU Health University of Oklahoma Medical Center (OK, 4 lines); Providence Portland Medical Center (OR, 2 lines); Providence St. Vincent Medical Center (OR, 2 lines); Robert Wood Johnson University Hospital (NJ, 2 lines); Sentara Norfolk General Hospital (VA, 2 lines); Swedish Medical Center First Hill (WA, 2 lines); Tampa General Hospital (FL, 2 lines); Thomas Jefferson University Hospital (PA, 2 lines); UAMS Medical Center (AR, 2 lines); UnityPoint Health Iowa Lutheran Hospital (IA, 2 lines); UofL Health Jewish Hospital (KY, 2 lines); Virginia Mason Medical Center (WA, 2 lines); Wellstar Kennestone Regional Medical Center (GA, 4 lines); West Virginia University Hospitals (WV, 3 lines).
What Medicare pays for an Echocardiogram
This is what Medicare pays under its national fee schedule, before geographic adjustment. It is not a price charged to patients or to anyone without Medicare.
| Code | Office or imaging center (scan and read) | Radiologist’s read only | Scan only |
|---|---|---|---|
| 93306Echocardiogram, complete, with Doppler | $196.73 | $67.47 | $129.26 |
Physician amounts: CMS Physician Fee Schedule, relative value file RVU26D, released August 26, 2026, read October 26, 2026. Computed by CMS’s formula with the file’s own conversion factor, before geographic adjustment.
Medicare pays an imaging service in an office or independent imaging setting as one amount, or as two parts: the scan (technical component) and the radiologist’s read (professional component). In a hospital outpatient department it pays the radiologist’s read under this schedule and the hospital separately.
Not shown: what Medicare pays a hospital outpatient department. CMS publishes those rates (October 2026 Addendum B) only behind the AMA CPT licence agreement, which this site has not accepted; last checked November 6, 2026.
The patient’s share under Original Medicare
Original Medicare Part B has an annual deductible, paid once a year before Medicare starts to pay. It is $283 (Calendar year 2026). CMS: 2026 Medicare Parts A & B Premiums and Deductibles, read October 26, 2026.
After the Part B deductible, the patient usually pays 20% of the Medicare-approved amount for each covered service, where the provider accepts that amount as full payment. Medicare.gov: Medicare costs, read October 26, 2026.
Medicare Advantage plans set their own cost-sharing; this site does not name or price any plan. Plan choice is explained on Medicare.gov.
Paying yourself: the Good Faith Estimate
Providers and facilities must give uninsured and self-pay patients a Good Faith Estimate of expected charges when a service is scheduled or on request.
“This section sets forth requirements for health care providers and health care facilities related to the issuance of good faith estimates of expected charges for uninsured (or self-pay) individuals (or their authorized representatives), upon request or upon scheduling an item or service.”
Ask for the estimate in writing when you book, and ask whether it covers the separate physician, radiology, anesthesia and pathology bills.
eCFR: 45 CFR 149.610, In force (45 CFR 149.610, text as of 2026-10-01), read October 26, 2026.
Calculator
Cash quote or insurance share for an Echocardiogram?
Enter the quote you were given and your own plan figures. Every field starts empty: the tool uses only what you type, or a sourced figure you choose to copy in.
- Median hospital cash price, code 93306 (US): $1,882.62 (60 hospitals, facility charge only). every hospital and its file, read November 6, 2026.
- Median hospital negotiated rate, code 93306 (US): $855.29 (69 hospitals, facility charge only; your plan's own rate may differ). every hospital and its file, read November 6, 2026.
Enter a cash quote and your plan’s allowed amount to see the comparison.
The insurance share is the deductible still to pay (up to the allowed amount), plus your coinsurance on the rest, plus any copay, capped at the out-of-pocket limit you entered. It does not check network status, prior authorization, separately billed physician, radiology, anesthesia or pathology fees, or whether a cash payment counts toward your deductible.
Help the dataset
A written quote or an explanation of benefits you have received helps other readers. Useful submissions include billing code, facility charge, professional fee, provider name, date quoted and whether the amount was a cash price, an allowed amount, your share on an explanation of benefits, or a billed charge.
Before booking, ask
Provider
- What billing code will be used for this Echocardiogram?
- Is the cash quote complete, or are professional or facility fees separate?
- Is contrast, anesthesia, pathology or follow-up included if relevant?
- Can you provide the quote in writing before booking?
- Which billing code will be used: a complete or a limited study?
- Does the quote include the cardiologist’s reading, or is it billed separately?
Insurer
- Is the provider in-network for my exact plan?
- Will this billing code require prior authorization?
- What patient responsibility do you estimate after deductible, copay and coinsurance?
- If I pay cash, can I submit a claim afterwards, and would it count toward my deductible?
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Echocardiogram by state
45 of 51 states and DC have a hospital file we read with a figure for these codes.
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKentuckyMaineMichiganMinnesotaMississippiMissouriMontanaNebraskaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAll state pages
What changes an Echocardiogram bill?
The useful comparison is itemized. These are the fields to pin down before relying on any quote.
| Factor | Why it matters | What to ask |
|---|---|---|
| Facility and reading fees | A hospital can bill the scan as a facility charge and the cardiologist bills the reading separately. | Ask whether the quote covers the scan and the reading. |
| Complete or limited study | Limited and follow-up studies are billed under other codes. | Ask which code will be billed. |
| Setting | Medicare pays an office and a hospital outpatient department differently. | Confirm whether the test is at a hospital outpatient department or a cardiology office. |
Cardiology office
The test at a cardiology practice.
What to check: Ask whether the reading is included in the quote.
Independent diagnostic testing facility
A standalone testing center.
What to check: Ask whether the reading is billed separately.
Common Echocardiogram billing codes
The code changes the comparison. Ask the ordering clinician or provider which code will be billed. Labels are our own plain-English descriptions.
| Code | What it is | When it is used |
|---|---|---|
| 93306 | Echocardiogram, complete, with Doppler | A complete ultrasound of the heart with Doppler. |
Questions to ask before booking
- Which billing code will be used: a complete or a limited study?
- Does the quote include the cardiologist’s reading, or is it billed separately?
- Is the test at a hospital outpatient department or an office?
- If I pay cash, will the payment count toward my deductible or out-of-pocket limit?
- What is my estimated patient responsibility if billed to my insurance?
What these figures are not
- A hospital’s discounted cash price is what that hospital charges a self-pay patient for the line it lists. It may not include the separately billed physician, radiologist, anesthesia or pathology fees.
- A negotiated rate is what one payer contracted with one hospital. It is not what a patient on that plan pays, which depends on the deductible, coinsurance, copay and network status.
- What Medicare pays is a national fee-schedule amount before geographic adjustment. It is not a price charged to anyone without Medicare.
Across 60 US hospital standard-charge files read on November 6, 2026, the median discounted cash price for code 93306 (Echocardiogram, complete, with Doppler) was $1,883, as the hospital's facility charge. Each hospital's figure and file is listed on the TreatCompare page.
For the same code, the median of 69 hospitals' middle negotiated rates with insurers was $855. A negotiated rate is what the insurer pays the hospital, not what the patient pays.
Medicare's national payment amount for code 93306 is $196.73 (CMS Physician Fee Schedule, relative value file RVU26D), before geographic adjustment. It is not a price charged to anyone without Medicare.
Sources: hospital standard-charge files read on November 6, 2026; CMS Physician Fee Schedule, relative value file RVU26D, read October 26, 2026.
Using this data?
Methodology, extracts and licensing
Main sources
- Hospital standard-charge files (93 hospitals, each file linked below)
- CMS Physician Fee Schedule, relative value file RVU26D
- CMS ambulatory surgical center rates, Addendum AA (October 2026)
- CMS: 2026 Medicare Parts A & B Premiums and Deductibles
- Medicare.gov: Medicare costs
- HealthCare.gov glossary: out-of-pocket maximum/limit
- eCFR: 45 CFR 149.610
Methodology: Hospital figures are read from each hospital's standard-charge file: one figure per hospital and billing code, facility charge only, with a median only at 4 or more hospitals, and cash and negotiated rates never combined. Medicare amounts are CMS's national fee-schedule amounts.
TreatCompare publishes healthcare, care-cost and treatment-pricing research for consumers, journalists, policymakers and commercial teams.
Contact TreatCompare about dataMethodology, source summaries and structured extracts: TreatCompare data team
Sources
- Hospital standard-charge files (93 hospitals, each file linked below). Read 6 November 2026. Discounted cash prices and negotiated rates, published under 45 CFR 180.50.
- CMS Physician Fee Schedule, relative value file RVU26D, released August 26, 2026. Read 26 October 2026. What Medicare pays a clinician, national amount.
- CMS ambulatory surgical center rates, Addendum AA (October 2026), effective October 1, 2026. Read 26 October 2026. What Medicare pays an ambulatory surgical center, national rate.
- CMS: 2026 Medicare Parts A & B Premiums and Deductibles, Calendar year 2026. Read 26 October 2026. Medicare Part B annual deductible
- Medicare.gov: Medicare costs, In force (statutory share; not set annually). Read 26 October 2026. Medicare Part B coinsurance
- HealthCare.gov glossary: out-of-pocket maximum/limit, Plan year 2026. Read 26 October 2026. Marketplace out-of-pocket limit, individual
- eCFR: 45 CFR 149.610, In force (45 CFR 149.610, text as of 2026-10-01). Read 26 October 2026. Good Faith Estimate for uninsured or self-pay patients
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Cash price vs insurance price
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Methodology
How hospital files and Medicare schedules are read