CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Jacksonville Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,671
Cash Discount Price: $4,465
vs. Medicare Baseline: 4.78x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Jacksonville Memorial Hospital is $2,671. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,465. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.78x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$4,465

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,671

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: $4,465 (800%)

Insurance Median: $2,671 (478%)

Cash: $4,465 (800% of Medicare)

Ins. Median: $2,671 (478% 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 478% of the Medicare baseline (a markup of 378%). 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
Tricare	$88 - $817	16%
Blue Cross Blue Shield	$172 - $4,479	31%
Coventry	$183 - $705	33%
Health Alliance	$183 - $3,046	33%
Humana	$183 - $3,821	33%
Medicare (plans)	$183 - $705	33%
UnitedHealthcare	$192 - $3,225	34%
Illinois Workers Compensation	$424 - $2,383	76%
Medicaid / KanCare	$424 - $848	76%
Molina Healthcare	$424 - $848	76%
Corvel/Corcare	$742 - $4,389	133%
Health Alliance Mh Employee Plan	$2,047 - $2,060	367%
Commercial Workers Compensation	$2,250 - $2,264	403%
Current Health Network	$2,448 - $3,359	439%
6 Degrees Health	$2,671 - $2,687	478%
Hope Trust	$2,671 - $2,687	478%
Hst	$2,671 - $2,687	478%
Cigna	$3,085 - $3,104	553%
Aetna	$3,111 - $3,583	557%
Healthlink	$3,783 - $3,807	678%
Phcs/Multiplan	$4,006 - $4,031	718%
Hfn	$4,228 - $4,255	757%
Liability	$4,451 - $4,479	797%

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 $4,465.
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 Jacksonville Memorial 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.