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Procedure price report · Diagnostic ultrasound (echocardiogram) or optical coherence tomography (OCT) of heart

Esophageal heart echo used to monitor during surgery

CPT 93318the billing code this page is about

Ultrasound of the heart from a probe placed in the esophagus, used continuously to monitor heart function and guide treatment during surgery or another procedure.

Hospitals typically charge $1,345 cash for this outpatient procedure — the median across 1,047 hospitals that filed a usable cash price; the average of the middle 60% is $1,430. Most fall between $594 and $2,689 (20th–80th percentile).

Hospitals
1,047
States
49
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,047 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$346$681$1,345$2,386$4,104

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($346 vs $4,104).

How the prices are spread

$199 – $276: 32 hospitals$199$276 – $383: 29 hospitals$383 – $531: 49 hospitals$383$531 – $737: 130 hospitals$737 – $1,023: 100 hospitals$737$1,023 – $1,419: 144 hospitals$1,419 – $1,970: 169 hospitals$1,419$1,970 – $2,733: 148 hospitals$2,733 – $3,793: 71 hospitals$2,733$3,793 – $5,263: 72 hospitals$3,793median $1,345price bands are equal on a log scale
Hospitals per price band (944 of 1,047 — the bands cover the 5th to 95th percentile)
FromToHospitals
$199$27632
$276$38329
$383$53149
$531$737130
$737$1,023100
$1,023$1,419144
$1,419$1,970169
$1,970$2,733148
$2,733$3,79371
$3,793$5,26372

Against Medicare

Medicare pays (OPPS 2026, national rate)$558
Median cash price$1,345
Cash as a multiple of Medicare2.4×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,345.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,422 across 30 hospitalsWA$1,422Idaho: median $2,729 across 11 hospitalsID$2,729Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,369 across 38 hospitalsIL$1,369Wisconsin: median $1,520 across 60 hospitalsWI$1,520Michigan: median $751 across 31 hospitalsMI$751New York: median $649 across 39 hospitalsNY$649Massachusetts: median $1,637 across 14 hospitalsMA$1,637Oregon: median $1,442 across 17 hospitalsOR$1,442Nevada: median $594 across 10 hospitalsNV$594Wyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $262 across 17 hospitalsIA$262Indiana: median $660 across 20 hospitalsIN$660Ohio: median $1,443 across 45 hospitalsOH$1,443Pennsylvania: median $1,521 across 37 hospitalsPA$1,521New Jersey: median $710 across 32 hospitalsNJ$710Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $1,994 across 97 hospitalsCA$1,994Utah: median $3,722 across 25 hospitalsUT$3,722Colorado: median $1,876 across 19 hospitalsCO$1,876Nebraska: median $692 across 10 hospitalsNE$692Missouri: median $885 across 19 hospitalsMO$885Kentucky: median $2,202 across 21 hospitalsKY$2,202West Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,793 across 27 hospitalsVA$1,793Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $1,899 across 26 hospitalsAZ$1,899New Mexico: median $612 across 10 hospitalsNM$612Kansas: median $514 across 13 hospitalsKS$514Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $635 across 19 hospitalsTN$635North Carolina: median $1,572 across 38 hospitalsNC$1,572South Carolina: median $1,465 across 31 hospitalsSC$1,465Oklahoma: median $930 across 30 hospitalsOK$930Louisiana: median $639 across 16 hospitalsLA$639Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,093 across 20 hospitalsGA$1,093Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,122 across 90 hospitalsTX$2,122Florida: median $2,352 across 68 hospitalsFL$2,352
Cash price by state, most expensive first. National median $1,345. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT25$3,722+177%$3,722 – $4,379
Idaho ID11$2,729+103%$2,365 – $2,729
Florida FL68$2,352+75%$1,049 – $5,374
Kentucky KY21$2,202+64%$986 – $3,817
Texas TX90$2,122+58%$1,226 – $2,952
California CA97$1,994+48%$880 – $4,464
Arizona AZ26$1,899+41%$592 – $2,880
Colorado CO19$1,876+39%$800 – $4,193
Virginia VA27$1,793+33%$1,049 – $2,014
Massachusetts MA14$1,637+22%$1,264 – $3,487
North Carolina NC38$1,572+17%$547 – $1,687
Pennsylvania PA37$1,521+13%$438 – $2,143
Wisconsin WI60$1,520+13%$586 – $2,037
South Carolina SC31$1,465+9%$799 – $1,578
Ohio OH45$1,443+7%$939 – $2,049
Oregon OR17$1,442+7%$230 – $2,382
Washington WA30$1,422+6%$1,066 – $1,558
Illinois IL38$1,369+2%$190 – $2,035
Georgia GA20$1,093−19%$1,093 – $4,446
Oklahoma OK30$930−31%$553 – $1,273
Missouri MO19$885−34%$610 – $4,206
Michigan MI31$751−44%$382 – $1,539
New Jersey NJ32$710−47%$607 – $1,450
Nebraska NE10$692−49%$438 – $703
Indiana IN20$660−51%$103 – $1,678
New York NY39$649−52%$384 – $1,807
Louisiana LA16$639−52%$520 – $1,072
Tennessee TN19$635−53%$338 – $1,150
New Mexico NM10$612−54%$524 – $970
Nevada NV10$594−56%$334 – $2,301
Kansas KS13$514−62%$215 – $1,119
Iowa IA17$262−81%$250 – $1,803
Alabama AL7not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,345.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care932$1,350$612 – $2,664
Children’s20$1,734$821 – $4,006
Critical access94$1,186$307 – $2,352
Ownership
For-profit163$1,578$594 – $5,074
Government116$1,046$363 – $2,114
Non-profit767$1,369$612 – $2,458
System affiliation
Part of a system916$1,443$624 – $2,734
Independent131$1,057$381 – $1,751

Cash price vs list price

Median list price (chargemaster)$2,729
Median cash price$1,345
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

793 hospitals filed a usable inpatient cash price for this code. The median is $1,524 and the average of the middle 60% is $1,518; most fall between $659 and $2,571.

Cash price percentiles, inpatient, across 793 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$398$800$1,524$2,386$3,722

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($398 vs $3,722).

Of the 837 hospitals that filed this code inpatient, 793 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 25 a list price only.

How complete is this

1,047 of the 3,956 hospitals with a price file in our corpus (26%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,107 hospitals that filed this code at all gave us
Usable cash price — counted1,047
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded32
Hospitals that filed this code1,107

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Diagnostic ultrasound (echocardiogram) or optical coherence tomography (OCT) of heart family.

Hospitals file this code under descriptions such as Echo Transesophag Montr Cardiac Pump Functj|PROFESSIONAL COMPONENT.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Esophageal heart echo used to monitor during surgery (CPT 93318) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-93318-esophageal-heart-echo-used-to-monitor-during-surgery