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

Heart muscle strain imaging, add-on

CPT 93356the billing code this page is about

An add-on measurement of how much the heart muscle stretches and shortens, calculated from images taken during an echocardiogram; billed in addition to the echo study.

Hospitals typically charge $305 cash for this outpatient procedure — the median across 2,117 hospitals that filed a usable cash price; the average of the middle 60% is $320. Most fall between $98 and $636 (20th–80th percentile).

Hospitals
2,117
States
50
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 2,117 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
$54$119$305$557$898

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($54 vs $898).

How the prices are spread

$37 – $53: 105 hospitals$37$53 – $75: 109 hospitals$75 – $107: 159 hospitals$75$107 – $152: 180 hospitals$152 – $216: 170 hospitals$152$216 – $307: 256 hospitals$307 – $436: 253 hospitals$307$436 – $620: 353 hospitals$620 – $881: 200 hospitals$620$881 – $1,251: 123 hospitals$881median $305price bands are equal on a log scale
Hospitals per price band (1,908 of 2,117 — the bands cover the 5th to 95th percentile)
FromToHospitals
$37$53105
$53$75109
$75$107159
$107$152180
$152$216170
$216$307256
$307$436253
$436$620353
$620$881200
$881$1,251123

By state

The median cash price in each state, against the national median of $305.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $83 across 17 hospitalsME$83Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $418 across 15 hospitalsNH$418Washington: median $465 across 50 hospitalsWA$465Idaho: median $431 across 14 hospitalsID$431Montana: median $84 across 11 hospitalsMT$84North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $317 across 72 hospitalsMN$317Illinois: median $363 across 73 hospitalsIL$363Wisconsin: median $235 across 90 hospitalsWI$235Michigan: median $372 across 72 hospitalsMI$372New York: median $145 across 74 hospitalsNY$145Massachusetts: median $321 across 42 hospitalsMA$321Oregon: median $87 across 38 hospitalsOR$87Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $566 across 26 hospitalsSD$566Iowa: median $417 across 39 hospitalsIA$417Indiana: median $303 across 77 hospitalsIN$303Ohio: median $194 across 105 hospitalsOH$194Pennsylvania: median $198 across 80 hospitalsPA$198New Jersey: median $232 across 34 hospitalsNJ$232Connecticut: median $117 across 20 hospitalsCT$117Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $347 across 130 hospitalsCA$347Utah: median $103 across 18 hospitalsUT$103Colorado: median $218 across 48 hospitalsCO$218Nebraska: median $359 across 39 hospitalsNE$359Missouri: median $352 across 55 hospitalsMO$352Kentucky: median $300 across 36 hospitalsKY$300West Virginia: median $129 across 19 hospitalsWV$129Virginia: median $426 across 55 hospitalsVA$426Maryland: median $73 across 15 hospitalsMD$73Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $121 across 36 hospitalsAZ$121New Mexico: median $85 across 11 hospitalsNM$85Kansas: median $291 across 24 hospitalsKS$291Arkansas: median $194 across 15 hospitalsAR$194Tennessee: median $235 across 51 hospitalsTN$235North Carolina: median $236 across 64 hospitalsNC$236South Carolina: median $489 across 40 hospitalsSC$489Oklahoma: median $287 across 33 hospitalsOK$287Louisiana: median $226 across 32 hospitalsLA$226Mississippi: median $108 across 21 hospitalsMS$108Alabama: median $121 across 22 hospitalsAL$121Georgia: median $306 across 69 hospitalsGA$306Hawaii: median $133 across 11 hospitalsHI$133Texas: median $564 across 151 hospitalsTX$564Florida: median $614 across 127 hospitalsFL$614
Cash price by state, most expensive first. National median $305. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL127$614+101%$180 – $1,042
South Dakota SD26$566+86%$165 – $1,143
Texas TX151$564+85%$263 – $820
South Carolina SC40$489+60%$371 – $532
Washington WA50$465+52%$155 – $682
Idaho ID14$431+41%$125 – $505
Virginia VA55$426+40%$237 – $713
New Hampshire NH15$418+37%$74 – $885
Iowa IA39$417+37%$100 – $665
Michigan MI72$372+22%$76 – $740
Illinois IL73$363+19%$188 – $702
Nebraska NE39$359+18%$118 – $750
Missouri MO55$352+15%$178 – $599
California CA130$347+14%$81 – $966
Massachusetts MA42$321+5%$79 – $801
Minnesota MN72$317+4%$108 – $500
Georgia GA69$3060%$150 – $547
Indiana IN77$303−1%$116 – $545
Kentucky KY36$300−1%$179 – $418
Kansas KS24$291−5%$91 – $898
Oklahoma OK33$287−6%$104 – $463
North Carolina NC64$236−23%$87 – $535
Wisconsin WI90$235−23%$119 – $408
Tennessee TN51$235−23%$71 – $481
New Jersey NJ34$232−24%$130 – $689
Louisiana LA32$226−26%$104 – $288
Colorado CO48$218−29%$148 – $852
Pennsylvania PA80$198−35%$41 – $793
Ohio OH105$194−36%$45 – $376
Arkansas AR15$194−36%$17 – $504
New York NY74$145−52%$53 – $318
Hawaii HI11$133−56%$70 – $189
West Virginia WV19$129−58%$53 – $143
Alabama AL22$121−60%$105 – $380
Arizona AZ36$121−60%$89 – $1,218
Connecticut CT20$117−62%$71 – $958
Mississippi MS21$108−65%$38 – $194
Utah UT18$103−66%$103 – $265
Oregon OR38$87−71%$34 – $410
New Mexico NM11$85−72%$28 – $424
Montana MT11$84−72%$51 – $323
Maine ME17$83−73%$22 – $593
Maryland MD15$73−76%$48 – $161
Nevada NV8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Delaware DE4not 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 $305.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,697$305$92 – $659
Children’s39$480$130 – $972
Critical access373$304$105 – $554
Ownership
For-profit241$445$141 – $1,233
Government270$263$92 – $505
Non-profit1,598$302$92 – $577
System affiliation
Part of a system1,866$312$103 – $643
Independent251$193$63 – $553

Cash price vs list price

Median list price (chargemaster)$580
Median cash price$305
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

1,576 hospitals filed a usable inpatient cash price for this code. The median is $307 and the average of the middle 60% is $326; most fall between $99 and $623.

Cash price percentiles, inpatient, across 1,576 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
$55$123$307$560$883

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($55 vs $883).

Of the 1,703 hospitals that filed this code inpatient, 1,576 gave a usable cash price; 44 carried a plausibility flag, 14 filed a number their own filing marks as not a price, 0 gave an estimate, and 69 a list price only.

How complete is this

2,117 of the 3,956 hospitals with a price file in our corpus (54%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,310 hospitals that filed this code at all gave us
Usable cash price — counted2,117
Cash price carrying a plausibility flag — shown on the compare tool, excluded here77
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded4
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded109
Hospitals that filed this code2,310

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 Myocrd Strain Img Speckle Trck Assmt Myocrd Mech.

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, “Heart muscle strain imaging, add-on (CPT 93356) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-93356-heart-muscle-strain-imaging-add-on