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CPT 93318 · Medicine/E&M · Evaluation & Management

Echo transesophageal intraop

Transesophageal echocardiogram during surgery costs range from $102.38 at Medicare rates to $548.30 in hospital outpatient settings, making it essential to verify your facility's billing practices before your procedure.

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
Rate comparison — Echo transesophageal intraop
Non-facility$99Medicare facility$102Hospital outpatient$548$449 difference between lowest and highest rate
$102
Medicare facility rate
$99
Non-facility rate

Code 93318 covers a specialized ultrasound of the heart performed by inserting a probe down the throat while a patient is already under anesthesia for another surgical procedure. This intraoperative monitoring is typically used during cardiac surgeries or other complex operations where real-time heart function assessment is needed. The Medicare benchmark for this code is $286, though facility charges often run 8-12x higher depending on the hospital setting.

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Compare by care setting
The same procedure costs different amounts depending on where you receive care.
$548
Hospital Outpatient rate for Echo transesophageal intraop
Medicare facility benchmark: $102
Regional rate comparison — Echo transesophageal intraop
Top 5 lowest and highest localities by Medicare facility rate
National avg $102REST OF ILLINOIS, IL$118DETROIT, MI$124QUEENS, NY$126MIAMI, FL$156CHICAGO, IL$147NYC SUBURBS/LONG ISLAND, NY$140

Facility rate

$102

National Medicare benchmark

Non-facility rate

$99

Office setting benchmark

Data sources

3

23 data points

Key insights for CPT 93318

Facility vs office setting

$3 difference

Non-facility setting is less expensive for this procedure

What this procedure costs across different settings

The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.

SettingMedicare ratevs lowest
Facility (physician office)$102+3%
Non-facility (office)$99Lowest
Outpatient (APC)$548+454%

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About this data

Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).

This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.

Related procedures

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.

Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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