Echocardiogram Cost in California
Tte w/doppler complete
$755Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
California Medicare physician rate (2026)
+13.9% vs nationalAverage of 29 localities. Office range $210.37–$265.52.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
This is Medicare's separate payment to the facility on top of the physician's fee. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in California
A ZIP-level lookup matters more in California than in any other state; compare your area, whether that is the Bay Area, Los Angeles, San Diego, Sacramento, the Central Valley, or the rural north.
What echocardiogram costs at hospitals near you
Everything above is a national average. The hospital you pick in California moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
National vs California
Where California ranks for this CPT
CPT 93306 by California locality
| Locality | Office |
|---|---|
| san jose-sunnyvale-santa clara (san benito cnty) | $265.52 |
| san jose-sunnyvale-santa clara (santa clara cnty) | $265.15 |
| san francisco-oakland-berkeley (marin cnty) | $259.91 |
| san francisco-oakland-berkeley (san francisco/san mateo/alameda/contra costa cnty) | $259.82 |
| napa | $245.03 |
| vallejo | $244.90 |
| santa rosa-petaluma | $230.35 |
| santa cruz-watsonville | $228.01 |
| san diego-chula vista-carlsbad | $225.67 |
| los angeles-long beach-anaheim (los angeles/orange cnty) | $224.61 |
| oxnard-thousand oaks-ventura | $223.74 |
| santa maria-santa barbara | $221.16 |
| sacramento-roseville-folsom | $221.10 |
| salinas | $220.28 |
| san luis obispo-paso robles | $216.68 |
| riverside-san bernardino-ontario | $211.27 |
| bakersfield | $210.66 |
| el centro | $210.39 |
| chico | $210.37 |
| fresno | $210.37 |
| hanford-corcoran | $210.37 |
| madera | $210.37 |
| merced | $210.37 |
| modesto | $210.37 |
| redding | $210.37 |
| stockton | $210.37 |
| visalia | $210.37 |
| yuba city | $210.37 |
| rest of california | $210.37 |
PE GPCI ranges from 1.096 to 1.442 in California. That index is why the same CPT is not one price statewide.
Echocardiogram and how California is priced
California is the most finely divided state in the Medicare fee schedule, with roughly thirty payment localities drawn around metropolitan statistical areas after CMS reformed the state's locality map. The San Francisco Bay Area carries some of the highest geographic adjustments in the nation, with San Francisco, San Jose, and the East Bay each priced separately, while Los Angeles, Orange County, San Diego, and Sacramento have their own localities at somewhat lower levels. Rural and inland counties fall into lower-cost localities, so the same procedure can carry meaningfully different Medicare-approved amounts within a single day's drive. No other state shows this much in-state variation on the fee schedule itself.
California's markets differ sharply: the Bay Area combines high wages with heavily consolidated hospital systems, Los Angeles offers enormous choice across a sprawling region, and the Central Valley and far north face genuine access shortages. Where you are treated within the state matters more here than almost anywhere else in the country. Academic medical centers in the Bay Area, Los Angeles, San Diego, and Sacramento handle much of the complex referral care.
This procedure: A complete transthoracic echocardiogram is an ultrasound movie of the heart, capturing chamber sizes, pumping strength, and, in this code's complete-with-Doppler form, blood flow across each valve. It evaluates murmurs, shortness of breath, heart failure, and valve disease. A sonographer glides a probe across your chest for 30 to 45 minutes while you lie on your side; there is no radiation, no dye, and no preparation.
What Is Echocardiogram?
A complete transthoracic echocardiogram is an ultrasound movie of the heart, capturing chamber sizes, pumping strength, and, in this code's complete-with-Doppler form, blood flow across each valve. It evaluates murmurs, shortness of breath, heart failure, and valve disease. A sonographer glides a probe across your chest for 30 to 45 minutes while you lie on your side; there is no radiation, no dye, and no preparation.
What Affects the Cost
- –Hospital outpatient echo labs charge dramatically more than cardiologist office-based labs for the same complete study.
- –This complete-with-Doppler code prices above limited or follow-up echo codes, so the study type ordered matters.
- –The interpreting cardiologist's professional fee is a separate component at facility-based labs.
- –Serial echos to monitor a known valve problem repeat the full cost at each surveillance interval.
- –If images are inadequate, an ultrasound-enhancing contrast agent may be used, adding a drug charge, or a transesophageal echo may follow at substantially higher cost.
Questions to Ask Before Booking
- 1.Has prior authorization been approved if my plan requires it for echo?
- 2.What is the price at your office lab versus the hospital's echo department?
- 3.Is a complete study needed, or does my follow-up qualify for the cheaper limited echo?
- 4.Is the cardiologist's reading fee included in the quote?
- 5.How often will this need repeating for my condition, and at what recurring cost?
Other featured procedures in California
Echocardiogram in other states
Echocardiogram in California: questions
The 2026 Medicare physician office rate for CPT 93306 averages $224.08 across 29 California localities, from $210.37 in CHICO to $265.52 in SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY). The hospital physician rate averages $224.08. Enter a ZIP for the exact locality.
Yes. CMS splits California into 29 payment localities. For this CPT the office physician fee spans $55.15 from the lowest to highest locality. A ZIP-level lookup matters more in California than in any other state; compare your area, whether that is the Bay Area, Los Angeles, San Diego, Sacramento, the Central Valley, or the rural north.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $45 for the office physician line or $45 for the hospital physician line in California. Medigap may cover that 20%. This is not the hospital facility fee.
No. $224.08 is only the physician's share. Adding Medicare's facility payment brings the total to about $755 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. California ranks #49 of 51 states on the physician line (14% above the national office rate of $196.73).