CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Carle Foundation Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,314
Cash Discount Price: $4,836
vs. Medicare Baseline: 4.15x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Carle Foundation Hospital is $2,314. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,836. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.15x the Medicare baseline. Located in 611 West Park Street, Urbana, IL.

Cash / Self-Pay

$4,836

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,314

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: $4,836 (866%)

Insurance Median: $2,314 (415%)

Cash: $4,836 (866% of Medicare)

Ins. Median: $2,314 (415% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 415% of the Medicare baseline (a markup of 315%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Humana	$201 - $586	36%
Aetna	$207 - $3,890	37%
Meridian	$482 - $586	86%
Blue Cross Blue Shield	$586 - $3,153	105%
Molina	$586 - $1,455	105%
UnitedHealthcare	$586 - $3,003	105%
Wellcare	$586	105%
Community Partners Health Plan (Cphp)	$2,836 - $2,854	508%
Cigna	$3,760 - $3,784	674%
Multiplan/Phcs	$3,856 - $3,881	691%
Healthlink	$4,097 - $4,123	734%

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 $4,836.
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 Carle Foundation Hospital 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.