CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Community Hospital of Staunton

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,322
Cash Discount Price: $1,548
vs. Medicare Baseline: 4.16x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Community Hospital of Staunton is $2,322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,548. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.16x the Medicare baseline. Located in 400 N Caldwell St, Staunton, IL.

Cash / Self-Pay

$1,548

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,322

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: $1,548 (277%)

Insurance Median: $2,322 (416%)

Cash: $1,548 (277% of Medicare)

Ins. Median: $2,322 (416% 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 416% of the Medicare baseline (a markup of 316%). 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
Tricare	$175 - $895	31%
Medicare (plans)	$185 - $929	33%
Clear Spring Health Ma	$190 - $941	34%
Medicaid / KanCare	$896 - $3,096	161%
Self Pay	$1,548	277%
UnitedHealthcare	$1,604 - $3,096	287%
Cigna	$1,994	357%
Blue Cross Blue Shield	$2,322 - $3,096	416%
Healthlink	$2,322 - $2,631	416%
Health Alliance Commercial	$2,476 - $3,096	444%
Aetna	$2,507 - $3,096	449%
Multiplan/Phcs	$2,631	471%
Beech Street	$2,817	505%

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 $1,548.
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 Community Hospital of Staunton 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.