CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $4,935
  • Cash Discount Price: $4,318
  • vs. Medicare Baseline: 8.84x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Ann & Robert H Lurie Childrens Hospital of Chicago is $4,935. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,318. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 8.84x the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.
Cash / Self-Pay
$4,318

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,935

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: $4,318 (773%)
Insurance Median: $4,935 (884%)
Cash: $4,318 (773% of Medicare)
Ins. Median: $4,935 (884% 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 884% of the Medicare baseline (a markup of 784%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Magellan $900 - $4,935 161%
Medicare (plans) $1,049 - $2,656 188%
UnitedHealthcare $1,526 - $1,878 273%
Aetna $2,200 - $3,270 394%
Mercycare Health $2,283 409%
Blue Cross Blue Shield $2,506 - $4,935 449%
Cigna $2,591 - $4,380 464%
Beacon Health Options $3,084 552%
La Rabida Childrens Hospital $3,084 552%
Unicare $3,678 - $8,500 659%
Centegra $3,701 663%
Independent Physicians At Mercy $3,701 663%
Advanced Physicians Association Ipa $4,318 773%
Health Plus $4,318 773%
Imagine Health $4,318 773%
Methodist First Choice $4,318 773%
Northwest Community Healthcare $4,318 773%
Presence Health Partners $4,318 773%
St. Francis $4,318 773%
Ui Health $4,318 773%
West Suburban Health Providers $4,318 773%
Shriners Hospital $4,627 829%
Swedish Covenant Physician Partners $4,627 829%
American Psych Systems $4,935 884%
Health Alliance $4,935 884%
Macneal Health $4,935 884%
Healthlink Inc. $5,089 912%
Cofinity $5,244 939%
Hfn Inc $5,244 - $5,552 939%
Humana $5,244 939%
Principal Healthcare $5,244 939%
St. Elizabeth $5,244 939%
First Health $5,429 973%
Healthstar $5,429 973%
Preferred Health Network $5,429 973%
Sagamore Health Network $5,429 973%
Beech Street $5,552 995%
Benchmark Health $5,552 995%
Employer'S Coalition On Health $5,552 995%
Private Health Care System $5,552 995%
Security Health Plan $5,552 995%
Swedish American $5,552 995%
Wellmark/Healthnetwork $5,675 1017%
Health Smart $5,861 1050%
Integrated Health Plan $5,861 1050%
Multiplan $5,861 1050%
National Provider Network $5,861 1050%
Wea Insurance Group $5,861 1050%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 225 E Chicago Ave, Box 140, Chicago, IL 60611
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens