CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: HSHS St Elizabeth's Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $2,411
  • Cash Discount Price: $2,184
  • vs. Medicare Baseline: 4.32x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at HSHS St Elizabeth's Hospital is $2,411. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,184. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.32x the Medicare baseline. Located in One St Elizabeth Boulevard, O Fallon, IL.
Cash / Self-Pay
$2,184

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,411

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: $2,184 (391%)
Insurance Median: $2,411 (432%)
Cash: $2,184 (391% of Medicare)
Ins. Median: $2,411 (432% 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 432% of the Medicare baseline (a markup of 332%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $229 - $3,033 41%
Blue Cross Blue Shield $229 - $3,033 41%
Claim Doc $229 - $3,033 41%
Clear Spring Health Of Illinois $229 - $3,033 41%
Health Alliance Medical Plans $229 - $3,033 41%
Health Partners $229 - $3,033 41%
Hopetrust $229 - $3,033 41%
Humana $229 - $3,033 41%
Molina Healthcare $229 - $3,033 41%
Naphcare $229 - $3,033 41%
Sae Hospice $229 - $3,033 41%
UnitedHealthcare $229 - $3,033 41%
Meridian Health Plan $413 74%
Amish Community $849 152%
Celtic Insurance Company $1,223 - $3,033 219%
Wellfirst $1,953 350%
First Health $2,257 404%
Cigna $2,396 - $3,033 429%
Healthlink $2,411 - $3,033 432%
Caterpillar, Inc. $2,436 436%
Consociate Group $2,669 478%
Choicecare $2,730 489%
Healthcare Finest Network (Hfn) $2,730 489%
Multiplan/Phcs $2,730 489%
Provider Network Of America $2,730 489%
City Of Springfield $3,033 543%
Current Health Solutions $3,033 543%
Healthscope $3,033 543%
Illinois Breast And Cervical Cancer Program $3,033 543%
Interplan $3,033 543%
Live360 $3,033 543%
Wexford $3,033 543%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Elizabeth Boulevard, O Fallon, IL 62269
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals