CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Carle Eureka Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $642
Cash Discount Price: $1,360
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Carle Eureka Hospital is $642. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,360. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.15x the Medicare baseline. Located in 101 S Major St, Eureka, IL.

Cash / Self-Pay

$1,360

Average discount available for prompt cash payment at this facility.

Insurance Median

$642

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: $1,360 (244%)

Insurance Median: $642 (115%)

Cash: $1,360 (244% of Medicare)

Ins. Median: $642 (115% 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.

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
Cigna	$82 - $1,057	15%
Meridian	$101 - $818	18%
Aetna	$126 - $1,127	23%
Humana	$201 - $767	36%
Molina	$203 - $818	36%
UnitedHealthcare	$456 - $1,052	82%
Wellcare	$586	105%
Community Partners Health Plan (Cphp)	$608 - $1,023	109%
Healthlink	$659 - $1,108	118%
Blue Cross Blue Shield	$679 - $1,432	122%
Multiplan/Phcs	$760 - $1,279	136%

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 $1,360.
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 Carle Eureka 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.