CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Warner Hospital and Health Services

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,241
Cash Discount Price: $3,311
vs. Medicare Baseline: 4.01x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Warner Hospital and Health Services is $2,241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,311. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.01x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$3,311

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,241

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: $3,311 (593%)

Insurance Median: $2,241 (401%)

Cash: $3,311 (593% of Medicare)

Ins. Median: $2,241 (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
Blue Cross Blue Shield	$1,049 - $3,905	188%
Aetna	$1,081 - $3,387	194%
Health Alliance Med Adv	$1,081 - $1,634	194%
Humana	$1,081 - $3,387	194%
Molina Mcr/Mcd Dual	$1,081 - $1,634	194%
UnitedHealthcare	$1,081 - $3,387	194%
Wellcare Mcr Adv-All Plans	$1,081 - $1,634	194%
Harmony Hp Mcaid-All Plans	$1,643	294%
Medicaid / KanCare	$1,643	294%
Meridian Hp-All Plans	$1,643	294%
Molina-All Other Plans	$1,643	294%
Healthlink Hmo	$2,057 - $3,108	368%
City Of Clinton (Employees Serv)-All Plans	$2,109 - $3,187	378%
Cigna	$2,189 - $3,307	392%
Caterpillar-All Plans	$2,241 - $3,387	401%
Multiplan Phcs-All Plans	$2,241 - $3,387	401%
Health Alliance-All Other Plans	$2,320 - $3,506	416%
Healthlink Ppo/Work Comp-All Other Plans	$2,320 - $3,506	416%
Consociate Care Ppo-All Plans	$2,373 - $3,586	425%
Hfn Ppo/Epo-All Plans	$2,373 - $3,586	425%
Three Rivers-All Plans	$2,505 - $3,785	449%

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 $3,311.
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 Warner Hospital and Health Services 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.