CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Anthonys Memorial Hospital

Billing Code: 93306 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$516

about 0.9× the $558 Medicare rate · typically $304–$600

modeled estimate · not a bill or quote

What this hospital charges insurers

$513

About the fair price

about $3 under the fair price · 0.9× Medicare

Medicare pays $558 Fair price $516 This hospital $513 Cash price $2,184 Hospital's list price $3,033

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $112 Priciest $513

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Echocardiogram (heart ultrasound) is about $516 (about 0.9× the $558 Medicare rate). St Anthonys Memorial Hospital charges insurers about $513, or about $2,184 in cash — about the fair price. Located in Effingham, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$229 - $3,033	41%
Blue Cross Blue Shieldmajor	$229 - $3,033	41%
Aetnamajor	$229 - $3,033	41%
Cignamajor	$2,396 - $3,033	429%
Humanamajor	$229 - $3,033	41%
HealthLink	$2,411 - $3,033	432%
HealthPartners	$229 - $3,033	41%
Meridian	$413	74%
Molina	$229 - $3,033	41%
+ 18 smaller / regional plans	$229 - $3,033

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,184), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93306.

Insurance Before you use insurance

Call your insurance company to confirm St Anthonys Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 93306.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Anthonys Memorial Hospital

Compare: Echocardiogram (heart ultrasound) at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.