CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Fayette County Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $578
Cash Discount Price: $646
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Fayette County Hospital is $578. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $646. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.04x the Medicare baseline. Located in 650 W Taylor St, Vandalia, IL.

Cash / Self-Pay

$646

Average discount available for prompt cash payment at this facility.

Insurance Median

$578

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: $646 (116%)

Insurance Median: $578 (104%)

Cash: $646 (116% of Medicare)

Ins. Median: $578 (104% 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
Health Alliance Mcare	$67 - $1,117	12%
Healthlink Mcr Adv	$67 - $1,117	12%
Aetna	$72 - $2,409	13%
Cigna	$77 - $2,619	14%
Coventry/Ghp-All Plans	$90 - $2,270	16%
Multiplan - All Plans	$124 - $2,968	22%
Health Alliance - All Other Plans	$134 - $2,884	24%
Blue Cross Blue Shield	$149 - $2,933	27%
UnitedHealthcare	$330 - $2,898	59%
Healthlink Hmo	$342 - $2,444	61%
Healthlink Ppo - All Other Plans	$342 - $2,794	61%
Illinicare - All Plans	$578 - $853	104%
Medicaid / KanCare	$578 - $853	104%
Meridian-All Plans	$578 - $853	104%
Humana	$1,117	200%

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 $646.
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 Fayette County 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.