CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Pinckneyville Community Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,268
Cash Discount Price: $1,821
vs. Medicare Baseline: 2.27x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Pinckneyville Community Hospital is $1,268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,821. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.27x the Medicare baseline. Located in 5383 State Route 154, Pinckneyville, IL.

Cash / Self-Pay

$1,821

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,268

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: $1,821 (326%)

Insurance Median: $1,268 (227%)

Cash: $1,821 (326% of Medicare)

Ins. Median: $1,268 (227% 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 227% of the Medicare baseline (a markup of 127%). 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
Humana	$67 - $1,268	12%
Umwa Mcr Adv - All Plans	$67 - $1,268	12%
UnitedHealthcare	$67 - $2,810	12%
Wellcare Mcr Adv - All Plans	$67 - $1,268	12%
Aetna	$68 - $3,084	12%
Cigna	$80 - $2,827	14%
Healthlink Hmo	$133 - $2,690	24%
Healthlink Ppo - All Other Plans	$133 - $2,827	24%
Blue Cross Blue Shield	$149 - $2,467	27%
Phcs Savility	$182 - $2,913	33%
Multiplan - All Plans	$193 - $3,084	35%
Phcs - All Other Plans	$193 - $2,810	35%
Ambetter / Centene	$578 - $2,364	104%
Medicaid / KanCare	$578 - $2,364	104%
Healthlink Work Comp	$2,827	506%

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 $1,821.
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 Pinckneyville Community 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.