CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: West Suburban Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $824
Cash Discount Price: $1,216
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at West Suburban Medical Center is $824. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,216. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.48x the Medicare baseline. Located in 3 Erie Court, Oak Park, IL.

Cash / Self-Pay

$1,216

Average discount available for prompt cash payment at this facility.

Insurance Median

$824

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$558.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $558.25 (100%)

Cash / Self-Pay: $1,216 (218%)

Insurance Median: $824 (148%)

Cash: $1,216 (218% of Medicare)

Ins. Median: $824 (148% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $558.25 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$231 - $824	41%
Humana	$554 - $824	99%
Aetna	$572 - $2,324	102%
Ambetter / Centene	$572 - $824	102%
Cigna	$572 - $912	102%
Longevity	$572 - $824	102%
Wellcare	$572 - $824	102%
Zing	$572 - $824	102%
Oscar	$583 - $840	104%
Nalc	$912	163%
UnitedHealthcare	$980 - $1,041	176%
Golden Rule	$1,041	186%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,216.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93306.

Insurance In-Network Protection Plan

Contact your insurance company to confirm West Suburban Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93306.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.