CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Decatur Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,240
Cash Discount Price: $4,493
vs. Medicare Baseline: 4.01x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Decatur Memorial Hospital is $2,240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,493. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.01x the Medicare baseline. Located in 2300 North Edward Street, Decatur, IL.

Cash / Self-Pay

$4,493

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,240

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: $4,493 (805%)

Insurance Median: $2,240 (401%)

Cash: $4,493 (805% of Medicare)

Ins. Median: $2,240 (401% 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 401% of the Medicare baseline (a markup of 301%). 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
Aetna	$183 - $3,024	33%
Blue Cross Blue Shield	$183 - $4,507	33%
Coventry	$183 - $2,704	33%
Health Alliance	$183 - $2,997	33%
Humana	$183 - $2,930	33%
Medicare (plans)	$183 - $576	33%
UnitedHealthcare	$183 - $4,507	33%
Veterans Administration	$183 - $576	33%
Tricare	$185 - $586	33%
Medicaid / KanCare	$272 - $554	49%
Wellcare	$288 - $576	52%
Caterpillar	$659 - $1,317	118%
Illinois Workers Compensation	$797 - $2,398	143%
Mennonite Churches	$1,926 - $1,938	345%
Plain Church Medical Group	$2,016 - $2,028	361%
Health Alliance Mh Employee Plan	$2,060 - $2,073	369%
Cigna	$2,087 - $2,100	374%
Hfn	$2,240 - $3,380	401%
Commercial Workers Compensation	$2,264 - $2,278	406%
6 Degrees Health	$2,687 - $2,704	481%
Hopetrust	$2,687 - $2,704	481%
Hst	$2,687 - $2,704	481%
Phcs Savility	$2,911 - $2,930	521%
Phcs Multiplan Ppo	$3,046 - $3,065	546%
Healthlink	$3,073 - $3,092	550%
Corvel	$3,225 - $3,245	578%
Consociate	$3,314 - $3,335	594%
Liability	$4,479 - $4,507	802%

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 $4,493.
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 Decatur Memorial 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.