CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Anderson Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,521
Cash Discount Price: $2,443
vs. Medicare Baseline: 4.52x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Anderson Hospital is $2,521. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,443. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.52x the Medicare baseline. Located in 6800 State Route 162, Maryville, IL.

Cash / Self-Pay

$2,443

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,521

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: $2,443 (438%)

Insurance Median: $2,521 (452%)

Cash: $2,443 (438% of Medicare)

Ins. Median: $2,521 (452% 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 452% of the Medicare baseline (a markup of 352%). 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
Health Care Service Corporation	$147 - $2,235	26%
Tricare	$177 - $5,745	32%
Humana	$185 - $4,827	33%
Medicare (plans)	$185 - $4,827	33%
UnitedHealthcare	$185 - $4,827	33%
Medicaid / KanCare	$304 - $544	54%
Aetna	$576 - $4,827	103%
Essence	$586 - $5,071	105%
Devoted Health Ppo	$588 - $4,924	105%
Clear Springs Health	$593 - $4,972	106%
Ambetter / Centene	$849 - $7,139	152%
Blue Choice	$849 - $7,139	152%
Hopetrust	$1,464 - $12,308	262%
Self Pay	$2,443 - $25,000	438%
Work Comp	$2,599 - $26,600	466%
Blue Cross Blue Shield	$2,620 - $2,714	469%
Healthlink	$3,029 - $3,420	543%
Cigna	$3,176	569%
Mercy Aco	$3,176	569%
Mercy Benefit Admin	$3,176	569%
Multiplan/Phcs	$3,664	656%
Beech Street Corporation	$4,397	788%

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 $2,443.
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 Anderson 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.