CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Francis Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,951
Cash Discount Price: $2,491
vs. Medicare Baseline: 5.29x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Francis Hospital is $2,951. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,491. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.29x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$2,491

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,951

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: $2,491 (446%)

Insurance Median: $2,951 (529%)

Cash: $2,491 (446% of Medicare)

Ins. Median: $2,951 (529% 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 529% of the Medicare baseline (a markup of 429%). 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
Wexford	$537	96%
Molina Healthcare	$564 - $3,460	101%
Meridian Health Plan	$591	106%
Clear Spring Health of Illinois	$727 - $3,460	130%
Blue Cross Blue Shield	$727 - $3,460	130%
Humana	$727 - $3,460	130%
UnitedHealthcare	$761 - $3,460	136%
Aetna	$761 - $3,460	136%
Amish Community	$969	174%
Celtic Insurance Company	$1,751 - $7,612	314%
Claim Doc	$1,816 - $8,650	325%
Hopetrust	$1,990 - $8,650	356%
Wellfirst	$2,226	399%
First Health	$2,567	460%
Caterpillar, Inc.	$2,775	497%
Current Health Solutions	$2,906	521%
Consociate Group	$2,941	527%
Multiplan/Phcs	$2,941	527%
Healthlink	$2,951	529%
Cigna	$3,079	552%
Healthcare Finest Network (Hfn)	$3,114	558%
Provider Network of America	$3,114	558%
Live360	$3,460	620%
Health Alliance Medical Plans	$3,460	620%
Healthscope	$3,460	620%
Naphcare	$3,460	620%
Illinois Breast and Cervical Cancer Program	$3,460	620%
Interplan	$3,460	620%

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 $2,491.
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 St Francis 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.