CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Northwestern Medicine Kishwaukee Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,818
Cash Discount Price: $2,927
vs. Medicare Baseline: 5.05x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Northwestern Medicine Kishwaukee Hospital is $2,818. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,927. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.05x the Medicare baseline. Located in One Kish Hospital Drive, Dekalb, IL.

Cash / Self-Pay

$2,927

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,818

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: $2,927 (524%)

Insurance Median: $2,818 (505%)

Cash: $2,927 (524% of Medicare)

Ins. Median: $2,818 (505% 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 505% of the Medicare baseline (a markup of 405%). 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	$765 - $3,596	137%
Health'S Finest Network [126]	$1,881 - $3,847	337%
UnitedHealthcare	$2,099 - $4,181	376%
Cigna	$2,203 - $2,220	395%
Blue Cross Blue Shield	$2,337 - $4,181	419%
The Alliance [1703]	$2,718	487%
Healthlink [125]	$3,136	562%
Choicecare [177]	$3,161	566%
Multiplan/Phcs [142]	$3,261 - $4,181	584%
Coventry [1218]	$3,596	644%
Coventryone Ppo [17110]	$3,596	644%
First Health Plan [6034]	$3,596	644%

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 $2,927.
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 Northwestern Medicine Kishwaukee 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.