CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Advocate Condell Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,649
Cash Discount Price: $1,665
vs. Medicare Baseline: 2.95x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Advocate Condell Medical Center is $1,649. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,665. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.95x the Medicare baseline. Located in 801 S Milwaukee Ave, Libertyville, IL.

Cash / Self-Pay

$1,665

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,649

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: $1,665 (298%)

Insurance Median: $1,649 (295%)

Cash: $1,665 (298% of Medicare)

Ins. Median: $1,649 (295% 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 295% of the Medicare baseline (a markup of 195%). 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
Ambetter / Centene	$829	148%
Molina	$829	148%
Advocate Employee	$847 - $1,499	152%
Oscar Health Hmo	$857	154%
Blue Cross Blue Shield	$1,064 - $2,545	191%
Cigna	$1,096 - $1,784	196%
Hstechnology	$1,097	197%
Private Healthcare Systems	$1,118 - $1,852	200%
Aetna	$1,244 - $1,985	223%
UnitedHealthcare	$1,288 - $2,058	231%
Multiplan	$1,720 - $2,744	308%

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 $1,665.
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 Advocate Condell 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.