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CostHelper > Health & Personal Care  > Medical Specialties & Departments > Echocardiogram

Echocardiogram Cost

How Much Does an Echocardiogram Cost?

average costWith Health Insurance: Copay or 10%-50% Coinsurancehigh costWithout Health Insurance: $1,000-$3,000+

An echocardiogram uses ultrasound to look at the heart and can be used for diagnosis and during treatment of various conditions, including congenital heart disease, heart murmurs, heart failure, pulmonary hypertension and heart infection.

Typical costs:

  • For patients covered by health insurance, out-of-pocket cost for an echocardiogram typically consists of a copay or coinsurance of 10%-50%. An echocardiogram typically is covered by insurance when ordered to help diagnose or monitor a heart problem, but not as a routine screening test. For example, United Healthcare[1] covers it for diagnosis and monitoring of a range of heart abnormalities in adults, but does not cover it for screening in the general population, including athletes with no symptoms of heart disease.
  • For patients not covered by health insurance, an echocardiogram typically costs $1,000-$3,000 or more, including a $200-$300 fee for interpretation by a cardiologist. Costs for a standard (transthoracic) echocardiogram tend to fall in the middle of the range, while costs for a stress echocardiogram, which involves exercising on a treadmill, or a transesophageal echocardiogram, which involves inserting a scope down the throat and through the esophagus to get a better view, tend to be on the higher end. For example, Wooster Community Hospital in Ohio charges about $900, not including the interpretation fee, for a standard echocardiogram. St. Peter's Hospital[2] in Montana charges almost $1,200. Saint Elizabeth Regional Medical Center[3] in Nebraska charges about $1,400 for a standard echocardiogram and almost $2,000 for a transesophageal echocardiogram, not including interpretation fee. And Dartmouth-Hitchcock Medical Center[4] in New Hampshire charges about $2,200, including professional fees, after a 30% uninsured discount, for a standard echocardiogram. And they charge about $2,800 for a stress echocardiogram.
Related articles: Heart Surgery, Heart Stent, Heart Rate Monitor, Health Insurance

What should be included:
  • For a transthoracic echocardiogram -- the most common type -- a technologist places a clear gel on the chest and abdomen and uses a hand-held device called a transducer, which emits sound waves to create images of the heart. The device transmits the images to an echocardiogram machine that creates a moving image of the heart that shows pumping action and structures, including valves and chambers. Later, a cardiologist reviews and interprets the images. The National Institutes of Health offers an overview[5] .
  • Other types include the stress echocardiogram[6] and the transesophageal echocardiogram[7] .
Additional costs:
  • If the standard echocardiogram doesn't provide enough information, the doctor might order a follow-up transesophageal echocardiogram.
  • Some clinics offer imaging and specialist services. The U.S. Department of Health and Human Services offers a locator for clinics that provide discounts[8] on an income-based sliding scale.
  • Many hospitals and imaging centers give discounts of up to 30% or more to uninsured/cash-paying patients. For example, Washington Hospital Healthcare System[9] in California offers a 35% discount. And Raleigh Radiology in North Carolina offers a 40% discount for payment made at the time of service.
Shopping for an echocardiogram:
  • A family doctor or cardiologist can make a referral to a hospital or imaging center. Or, the American College of Radiology offers a locator by zip code[10] for facilities that are ACR-accredited in ultrasound procedures.
  • After the procedure, a cardiologist can recommend follow-up treatment or further testing. The American College of Cardiology offers a cardiologist locator by zip code. A cardiologist should be board-certified by the American Board of Internal Medicine[11] and have further training in cardiovascular disease.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
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What People Are Paying - Recent Comments

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Amount: $17,000.00
Posted by: Virginia KNott in Tyler, TX.Posted: August 26th, 2021 05:08AM
Physician: Medical Center: Trinity mother francis
The tec worked 30 min or more..the doctor didn’t even call me afterwards to tell me how it turned out. Nurse called me said all why did this test take so long?! I am not happy. I know my heart skips a beat every minute. I time it dailey
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Amount: $5,200.00
Posted by: a user in Miami, FL.Posted: August 25th, 2021 08:08AM
Physician: Medical Center: University of Miami
DO NOT use University of Miami for any tests. They over charge you and do not let you know the cost before hand. The Insurance paid part, roughly $2k , with reading I owe $3600. You would think the hospital would let you know the cost before they go about the procedure. But NO! and I cannot find anywhere on line their costs for procedures.
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Echo Heart Xthoracic, w/ Doppler
Amount: $2,395.19
Posted by: Crying Uncle in St. Lous, MO.Posted: July 15th, 2021 09:07AM
Physician: Medical Center: BJC MO
WHAT A RIPOFF. I was having chest compressions for a number of months. Of course this was over the pandemic but my Dr. and I agreed we should check it. NEVER was I informed that this 30 minute procedure would cost $6100+, with UHC negotiating a rate of $2,400+, and with a high deductible, leaving it all to me. How is it that the hospitals and the insurance company can agree on terms but we as patients just inherit what we get? WTH..this is not right. I'm grateful I don't have a cardiac issue but guess what -- My chest pressure from stress is even higher now. How the hell do they think we can just fork out thousands of dollars at the drop of a hat. I have so many words but none of them are PG13.
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Amount: $9,100.00
Posted by: John Ryan in Princeto, NJ.Posted: June 6th, 2021 09:06AM
Physician: Medical Center: Pennmedical, princeton
8,100 for 5 minute pictures.
5,000 adjusted
1,000 insurance paid
1,700 billed to me
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Amount: $927.97
Posted by: a user in Kansas City, MO.Posted: November 16th, 2020 08:11AM
Physician: Dr. Ryan FarrellMedical Center: KU Med
I have MVP, and therefore must have routine echocardiograms performed. The cost of these procedures is an absolute scam. For a 20-minute procedure performed by a tech making ~$60K annually, and a 10-minute analysis by a physician, KU Med bills my insurance $4,936. And then the separate follow up visit with my physician to review the results of said test are billed to insurance at $1,109. That's $6K for a total of 20-minutes time from a technician using a standard ultrasound machine at a low-cost remote clinic, and 40-minutes total time with physicians reviewing the test. The American people are getting ripped off. The insurance provider shows their "value" by "negotiating" these rates down (basically, serving as the guarantor) and the patient pays for both the sky-high premiums and the $1K "negotiated" balance due to deductibles.
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Echocardiogram for baseline
Amount: $1,750.00
Posted by: DavidR in Allentown, PA.Posted: May 18th, 2020 11:05AM
Physician: Medical Center: LVHN
Cardiologist recommended this test for occasional racing heart. I mistakenly thought of the one done for pregnant women, and that my cost would be under $1000. I was not even there for a half hour getting the ultrasound. I was shocked to see the full price they charged was over $5100. What insurance allowed was almost half that at $2650. And I end up owing over $1700. I am amazed how the cardiologist talked about it so casually as it would be nice to get. Not a necessity. Test was done across hall from cardiologist's office. Maybe he gets a cut of the fee. Wish I had inquired elsewhere for a better price.
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ECHO TTHRC R-T 2D at Tenet Hospital San Luis Obispo
Amount: $6,604.88
Posted by: Jackie Yeager in San Luis Obispo, CA.Posted: January 30th, 2020 01:01PM
Physician: NONE-NurseMedical Center: Sierra Vista Regional Medical Center
My insurance covered the Medicare allowed amount for geographic region plus 25% for this bill and the hospital is disputing it. The test was prescribed and medically necessary, took all of ten minutes, was done by a nurse or PA. Infuriating!
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Amount: $0.00
Posted by: Paschalia Evangelidou in Thessaloniki, KS.Posted: August 4th, 2019 07:08AM
Guys I must tell you that this test here in Europe costs 50 euro which is basically around 58 dollars. They r ripping you off...
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Amount: $697.00
Posted by: a user in Reading, PA.Posted: July 24th, 2019 01:07PM
I was looking at paying over $1700 for the echocardiogram in reading,pa using my awful health insurance. After days of research I found the website mdsave where I could get an echocardiogram done for $697. Paid cash up front for for the same test that my insurance wanted $1000 more for. Absolute joke!
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Amount: $600.00
Posted by: Deb B in Allentown, PA.Posted: June 21st, 2019 09:06AM
Physician: Heart care groupMedical Center: Lehigh Valley Health Network
I spent roughly 30 minutes At the facility. The hospital charged $7725 for this procedure. My Insurance company allowance was $3500. I was charged $600. However that was because I already met my deductible Of $2500. Thank you Obama care for nothing!Fair health care for all. Nonsense! This is highway robbery.
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Fetal Echocardiography
Amount: $1,314.00
Posted by: Sk7 in West Palm Beach, FL.Posted: April 8th, 2019 06:04PM
Physician: Dr. Debbie Friedman,Md,PhDMedical Center: Pediatrix Cardiology
I went for a level 2 Ultra Sound at roughly 22/wks pregnant. The tech was supposedly unable to see all 4 chambers of my baby's heart,and the doctor ordering level 2 referred me to have a fetal echo done. I figured that it being the beginning of the year,whatever I had to pay would go towards my deductible. My deductible is $3,000. I was charged $1,314.00 in the office and was told that was my patient responsibility. I asked several times if that was going to be applied toward my deductible, which they said yes it would. I had the service.1/2/19 and received a bill mid March for an additional $400. I called my insurance, UHC, and they said they denied the claim and requested more information and updated treatman plan for procedure from Dr. Friedmans office,because they sent a bill UHC for nearly $3,400!!!! Yet my insurance has NO record I paid $1,314. Sketchy af. Called Dr. Friedmans office and OF COURSE their answer was to call my insurance company. So $4,700 total for 30 min scan.FU.
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Amount: $10,000.00
Posted by: Paul Varga in Trenton, NJ.Posted: December 12th, 2018 11:12AM
Physician: NurseMedical Center: Capital Health
45 Minute Test.10K Beware. Capital Health System. Ewing Twp, NJ Insurance paid 7K. Good luck getting the rest.
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Why is this so expensive?
Amount: $1,000.00
Posted by: jc1234 in allentown, PA.Posted: August 17th, 2018 11:08AM
Physician: Lehigh Valley HospitalMedical Center: Lehigh Valley Hospital
Our pediatrician recommended our two year old daughter have an echocardiogram done. Low and behold, there’s nothing wrong. At all. “procedure” took all of 15 minutes with an ultrasound machine. Insurance was billed $4,800. I have to pay $1,000. Where is this money going? What a scam.
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Echocardiogram insurance versus cash
Amount: $225.00
Posted by: sick of Obama Care, Canceled in statewide, FL.Posted: July 25th, 2018 12:07PM
Physician: Medical Center: SimonMed
If you have Obama Care it costs thousands.
If your un-insured it's under $300.
Do your homework, Get an order from your doctor first. Than search for a company that does only imaging. Same thing works for stitches. $150 cash for a doctors visit and 5 stitches or nearly $800 with Obama Care. My deductible is $6,000 so since I never spend more than a few grand a year, I always pay cash.
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Echo cardiogram
Amount: $0.00
Posted by: Kristen Jones in Manchester, NH.Posted: May 15th, 2018 07:05PM
Physician: Medical Center: Dartmouth Hutchcock
We have Medicaid for our 7 yo daughter who has subaortic stenosis and we were told two years ago to have it monitored yearly. I had no insurance coverage and so she wasn't seen. She started recently developing chest pain - so I asked her doctor to refer to cardiology . NH Healthy Families ( Medicaid) denied a simple EKG and echo. Medical claims denied ? Seriously unnecessary ? Says who?
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Echocardiogram - billing code 93306
Amount: $4,700.00
Posted by: Steve P in Philadelphia, PA.Posted: April 10th, 2018 01:04PM
Physician: N/AMedical Center: Childrens Hospital of Philadelphia -CHOP
I had an Echocardiogram performed at Doylestown Hospital and was billed $850. My 7 year old son had one done a few months later at Children’s Hospital of Philadelphia (CHOP) and we received a bill for $4,700 – 5 1/2 times more. Both tests were billed as the same procedure (code 93306) and took about the same amount of time (20 minutes). These amounts are “member rates” through Aetna. Both places billed about 2X more. Amazing and infuriating to see such a price discrepancy for the same procedure.
During my sons’ evaluation, the cardiologist recommended to get the test. “Mr. Concerned Parent we have a tech on site and you can get it done right now here in our facility – will take less than 1/2 hour.” “Thanks doc.” What parent would sit there and question how much this will cost. Especially since I had the same procedure done and knew what the ballpark price would be. CHOP is a great hospital but this is price gouging. Ironically, the cardiologist only billed $200 for the vist.
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Amount: $500.00
Posted by: a user in willard, OH.Posted: July 29th, 2017 07:07AM
Physician: greg vigessaMedical Center: mercy willard ohio
after medicare paid i still owed 501 dollars
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child's echocardiogram
Amount: $793.00
Posted by: Neal Palmer in San Diego, CA.Posted: June 19th, 2017 10:06AM
Physician: ?Medical Center: Rady Children's San Diego
45 minutes spent with a tech. Billed for $3548. Down to just under $800 after the insurance limits. The tech is probably getting paid about $50k/year. Oh, and they are incredibly busy, because we had to wait more than 6 months for the appointment!
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Healthcare Scam
Amount: $0.00
Posted by: Kajan in Tampa, FL.Posted: May 20th, 2017 01:05AM
Physician: Oncologists/SurgeonsMedical Center: Numerous
The scam waged on the patient is the ancillary providers found if they didn't belong to any insurance plans they could bill 100% even though the hospital or clinic is a plan participant. Not only did the oncologist charge me per visit, they charged me for blood test separately, at their office, and additional charges for a shot the next day. I hit all my deductibles the first day, I should have paid nothing. I also contracted MRSA the first day and because they caused additional treatment, my self-funded insurer got $80,000 back for the additional treatment, surgeries and hospitalizations, I lost all my savings and 401k, my job, and eventually my coverage. One cardiologist in Tampa was part of a plan, his brethren explained the benefit on none participation. As a participant he billed and was paid $500,000+ per year. As a non participant he billed Aetna and was paid for the same consults $2.3 Million the next year! The Tampa Bay Times listed it under the title, "Signs of Armmegedon
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Echocardiograph for 4 year old
Amount: $5,704.00
Posted by: RajeshB in Middletown, DE.Posted: April 9th, 2017 02:04PM
Physician: Dr. Deepika ThackerMedical Center: Nemours Pediatrics Delaware
Our daughter has a bicuspid aortic valve that was detected at 7 months age. She is perfectly healthy and we showed the pedetrician/ cardiologist the report. But our pedetrician insisted we get it evaluated. Well we went after prelim. research thinking that our out of pocket expenses (with high deductible plan) would be within $1000. Lo and behold, the insurance company was billed $5704 for 30 mins transthoradic echocardiograph using 3 codes. My responsibility is $2800. Is this unethical, daylight robbery or what? For a diagnosis we already knew about. The cardiologist interpretation was charged another $594 ( insurance negotiated price is $286) What are my options here?
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TTE 93306
Amount: $1,208.00
Posted by: C. V. Wynne, M.D. in Asheville, NC.Posted: February 14th, 2017 08:02AM
Physician: J.R. Foley, M.D.Medical Center: Mission Hospital
Went for echo at cardiologist's office. Hadn't met deductible and my BCBS estimate online was $408 done in doctor's office. Well, the cardiology office had been acquired by Mission Hospital so they charged their rate which was ~$1980. My insurance said I was responsible for $1208. Three times the rate and it was actually done inside the cardiologist's office. This has got to be unethical, why do the insurance companies pay at three times the rate for the same procedure? I am a retired physician and can't understand how they justify this.
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Amount: $1,770.50
Posted by: a user in Ann Arbor, MI.Posted: December 19th, 2016 12:12PM
Physician: Scott Andrew Kelley, MDMedical Center: U of M Echocardiogram Clinic
$1947 was billed to my insurance, ended up being adjusted very slightly. I thought the 20 minute test would be $300 max after looking up my insurance benefits. I won't make that mistake again. Doesn't explain the absurdly high charge still. I know people were charged even more too and this really is robbery and a non transparent system. The machine may be expensive but a 20 min test and probably less than 20 min doctor interpretation does not cost this much.
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Amount: $3,174.00
Posted by: a user in Louisville, KY.Posted: December 8th, 2016 11:12AM
Physician: Dr. StaceyMedical Center: Baptist Health
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Amount: $8,412.65
Posted by: S.K. in Los Angeles, CA.Posted: July 7th, 2016 04:07PM
Insane. Was referred by primary doctor to cardiologist, who was supposed to accept my insurance. Primary doctor was worried about my A-Fib that turned up during routine physical. Today, 2 weeks later, saw claim result online. My insurance pays nothing says out of network. code 93306 for $8,412.65. Now I have heart trouble after seeing amount not paid. So I am sure this will be a long, crazy fight to get the price down. Right now, my heart is ticking on overdrive because of this bill. Obviously, had I know this would have happened, I would have made other plans.
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Stress echo
Amount: $4,900.00
Posted by: Keshnaur in Louisburg, KS.Posted: April 21st, 2016 04:04PM
Ridiculous in a little town in kansas
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TTE with Doppler
Amount: $904.00
Posted by: R. Rosenthal in Fullerton, CA.Posted: April 10th, 2016 07:04PM
Physician: Charles Yonghun SUHMedical Center: St. Joseph Heritage
Blue Shield covered $514.46 of $904.00.
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Words from a cardiac sonographer
Amount: $0.00
Posted by: John Smith 36 in N/A, MI.Posted: March 11th, 2016 09:03AM
I am a cardiac sonographer and i see soooo many patients getting UNNECESSARY echocardiograms and other tests. Please don't be stupid, question your doctor's, your insurance companies, do some Google research. There are only a few conditions where you need an echo every 6 months. And if you're in the hospital most hospitalists will order echoes just because, mostly there is no reason other than cardiac.
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Amount: $840.80
Posted by: platterpuss71 in Naperville, IL.Posted: January 15th, 2016 01:01PM
Physician: None seenMedical Center: Edward Hospital
My son was having some issues during gym and feel tightness in his chest. Our family physician felt it would be a good idea to get an echo done. Being 17 and athletic we felt it was a good test to make sure. It was literally less than 30 minutes and I received a bill for $3,722.00 with my portion being $840.80. Since they found he had a bicuspid aortic valve, they suggested everyone in the immediate family get one as well since it's hereditary. Had mine 2 weeks after his so now I know I am looking at yet another $840 bill. If I had known the cost would be so overinflated I would have waited to get mine. To me this is just thievery.
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Out of Pocket Cost
Amount: $1,246.40
Posted by: sleepyinok in Tulsa, OK.Posted: December 14th, 2015 12:12PM
Physician: Medical Center: MCI Diagnostics
I had no idea that we were going to have to pay this much out of pocket. I looked on our insurance web-site and it was not estimated on there. I had a tread mill stress test along with pictures taken before and after exercise. I was able to put 1/2 down and pay the rest later.
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Amount: $4,202.63
Posted by: slcasey in Denver, CO.Posted: August 27th, 2015 08:08AM
Physician: unknownMedical Center: University of Colorado Denver
I have an HMO. I was referred to a doctor at UC Denver medical center. I checked to make sure he was under my plan, and he was. My plan paperwork said any tests done while at the doctor's office would be covered. However, I continue to get bills saying they won't cover the costs because they were done at a non-plan facility. I have over $3000 in medical costs I have to pay for one office visit! What good is having insurance? I purposely chose an HMO so I would know my costs up front. I have never had to pay this much in medical bills, even for several days in the hospital as an inpatient. I tried to negotiate a lower price, and they said that I already had been given a discount.
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Billed by Hospital AND Physician's office - is this not fraud??
Amount: $0.00
Posted by: Pissed ! in Louisville, KY.Posted: July 7th, 2015 06:07PM
Physician: Pediatric CardiologyMedical Center: Kosair's Childrens
Cardiology group joined Univ. of Louisville physician's group since the last checkup. Bills with codes:
Code 0480 (Kosair) echo $2437 after insurance adjustment.
CPT 93303-26 (MD office) - $585
CPT 93320-26 (MD office) - $410
CPT 93325-26 (MD office) $290.
***The tricky thing is that the previous year the Echo was done in the MD's office. The MD codes and prices WERE EXACTLY THE SAME!! The ONLY difference is that I did not have to pay the hospital for an echo that was done 1 door down from the MD's office. How is this not fraud?? Someone please explain.
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Hb Cardia Echo Lap
Amount: $5,913.81
Posted by: beeg in Doylestown, PA.Posted: April 8th, 2015 12:04PM
Physician: Medical Center: CHOP
I took my child to see a doctor due to heart pain, he said he would like to do an ultrasound. Thinking that ultrasound costs only a few hundred dollars, I said ok, go ahead. The bill came, it was $5,913.81. The insurance negotiated down to half the cost, so I was on the hook for $2,956.91, paid entirely by me. I've never spent this much without doing any research. If the doctor it was an echocardiagram, I would have asked how much it cost, and research to see if it costs less in another hospital or clinic, before doing the test. And from all the comments here, this is by far THE MOST expensive one listed.
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TTE w/Doppler
Amount: $1,019.00
Posted by: Insurance nerd in Austin, TX.Posted: March 10th, 2015 10:03AM
Physician: Dr. Arthur SmithMedical Center: Heart Hospital - St. David's Medical
My husband was experiencing heart palpitations and extremely high blood pressure due to stress. My mother-in-law whose been an RN for 40+ years referred him to her cardiologist. He went for 1 visit which resulted in 5 claims on my insurance. We have a high deductible plan so the insurance company made the adjustment to what was billed but we are still on the hook for the remainder. Had my husband known before hand the cost of this Echocardiogram then he would have declined. We've received 4 other bills all in the 180 - 230 range for the same office visit.
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Cardiac Workup/transthoracic echocardiogram
Amount: $4,000.00
Posted by: cch in Jacksonville, FL.Posted: December 11th, 2014 11:12AM
Physician: Medical Center: Wolfson\'s Children/Baptist
My 17 yr old was experiencing exercise intolerance, getting out of breath after swimming. Got a cardiac consult which included about 1.5 hours: transthoracic echo, EKG, MD consult: result: normal and out of shape. Billed insurance about 4000: shock! Insurance adjustment about 2000. Paid 2000 out of pocket, seemed excessive and was not informed of high cost of echo, which took about 20 min. of tech time, then MD interpretation. We did complain and it is pending.
**If possible, I think get referral to an imaging center, which will have lower prices.
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