CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Methodist Hospitals Inc

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,145
Cash Discount Price: $2,028
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Methodist Hospitals Inc is $1,145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,028. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.05x the Medicare baseline. Located in 600 Grant St, Gary, IN.

Cash / Self-Pay

$2,028

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,145

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: $2,028 (363%)

Insurance Median: $1,145 (205%)

Cash: $2,028 (363% of Medicare)

Ins. Median: $1,145 (205% 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 205% of the Medicare baseline (a markup of 105%). 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
Aetna	$575 - $2,144	103%
Blue Cross Blue Shield	$575 - $3,338	103%
Humana	$575 - $789	103%
Medicare (plans)	$575	103%
United Heathcare	$575	103%
Zing	$587	105%
Caresource	$789	141%
Managed Health Services	$789	141%
Medicaid / KanCare	$789	141%
UnitedHealthcare	$789	141%
Caresource Maketplace	$949	170%
Cigna	$1,112 - $1,208	199%
Ambetter / Centene	$1,151	206%
Physicians Health Plan Of Northern Indiana	$1,674	300%
Encore	$1,738 - $2,578	311%
Phcs	$1,970	353%
Siho	$2,028	363%
Sagamore	$2,086	374%
Multiplan	$2,115	379%
Hfn	$2,260 - $2,462	405%
Magnacare	$2,734	490%

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 $2,028.
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 Methodist Hospitals Inc 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.