CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Wabash General Hospital 1

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $625
Cash Discount Price: $1,111
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Wabash General Hospital 1 is $625. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,111. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.12x the Medicare baseline. Located in 1418 College Drive, Mount Carmel, IL.

Cash / Self-Pay

$1,111

Average discount available for prompt cash payment at this facility.

Insurance Median

$625

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: $1,111 (199%)

Insurance Median: $625 (112%)

Cash: $1,111 (199% of Medicare)

Ins. Median: $625 (112% 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
Blue Cross Blue Shield	$61 - $1,754	11%
UnitedHealthcare	$64 - $1,613	11%
Health Alliance Mcr Adv - All Plans	$65 - $638	12%
Aetna	$136 - $1,714	24%
Healthlink Hmo	$144 - $1,412	26%
Cigna	$155 - $1,512	28%
Encore Combined Ip/Op Only	$155 - $1,512	28%
Hope Trust - All Plans	$155 - $1,512	28%
Healthlink Ppo - All Other Plans	$165 - $1,613	30%
Phcs - All Plans	$165 - $1,613	30%
Health Smart - All Plans	$175 - $1,714	31%
Hfn - All Plans	$175 - $1,714	31%
Multiplan - All Plans	$175 - $1,714	31%
Siho Network - All Plans	$175 - $1,714	31%
Encore Health Network Ip/Op Only - All Other Plans	$186 - $1,815	33%
Meridian Mcaid - All Plans	$1,046	187%
Molina Mcaid - All Plans	$1,046	187%

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 $1,111.
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 Wabash General Hospital 1 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.