CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Saint Joseph Regional Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $64
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 0.11x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Saint Joseph Regional Medical Center is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.11x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$163

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

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: $163 (29%)
Insurance Median: $64 (11%)
Cash: $163 (29% of Medicare)
Ins. Median: $64 (11% 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.

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
Medicaid / KanCare $43 - $789 8%
Aetna $63 - $1,996 11%
Albany County Correctional Facility $63 11%
Ambetter / Centene $63 11%
Amish Mennonite $63 11%
Ascension St. Vincent Public Safety Medical $63 11%
Bcccp-Michigan $63 11%
Bccp $63 11%
Blue Cross Blue Shield $63 - $2,041 11%
Bmc Healthnet $63 11%
Breast Grant-Connecticut $63 11%
Broward County Dept Of Health $63 11%
California Health And Wellness $63 11%
Cardinal Innovations Lme $63 11%
Care Connections Of Northern Iowa $63 11%
Care Oregon Ohp $63 11%
Cencal Health Plan $63 11%
Cenpatico $63 11%
Champva $63 11%
Chhuny $63 11%
Childrens Comm Health Plan $63 11%
Childrens Medical Services Title 19 $63 11%
Cigna $63 - $1,965 11%
City Of Philadelphia $63 11%
Cmh Allegan County $63 11%
Cmh Ausable Valley $63 11%
Cmh Barry County $63 11%
Cmh Bay-Arenac County $63 11%
Cmh Berrien County $63 11%
Cmh Cass County $63 11%
Cmh Central Mi County $63 11%
Cmh Clinton-Eaton-Ingham County $63 11%
Cmh Detroit Wayne Integrated Health Network $63 11%
Cmh Genesee County $63 11%
Cmh Ionia County $63 11%
Cmh Jackson County/Lifeways $63 11%
Cmh Kalamazoo $63 11%
Cmh Kent County $63 11%
Cmh Lenawee County $63 11%
Cmh Livingston County $63 11%
Cmh Macomb $63 11%
Cmh Misc $63 11%
Cmh Monroe County $63 11%
Cmh Montcalm County $63 11%
Cmh Muskegon County $63 11%
Cmh Newaygo County $63 11%
Cmh North Country $63 11%
Cmh Northern Lakes County $63 11%
Cmh Oakland County $63 11%
Cmh Ottawa County $63 11%
Cmh Van Buren County $63 11%
Cmh Washtenaw County $63 11%
Cmh Wayne County/Carelink $63 11%
Cmh Wayne Cty/Com Liv Svcs $63 11%
Cmh West Mi County $63 11%
Community Benefit Health $63 11%
Community Care Behavorial Health $63 11%
Community Care Partners $63 11%
Community Health Choice $63 11%
Connections Csp $63 11%
County Coroner $63 - $601 11%
County Funding Generic $63 11%
Covid19 Hrsa Uninsured Testing And Treatment Fund $63 11%
Dean Wi Badgercare $63 11%
Delaware County Department Of Health $63 11%
Delaware First Health $63 11%
Delta Dental Nj $63 11%
Dph Tb Program $63 11%
Dscc $63 11%
Eastpointe Lme $63 11%
Family Health Network $63 11%
Freedom First Healthcare $63 11%
Fresno County Ccs $63 11%
Ghc Scw Wi Badgercare $63 11%
Harbor Health $63 11%
Health Safety Net $63 11%
Healthy Blue Ne $63 11%
Hennepin Health $63 11%
Humana $63 - $64 11%
Id County Ada $63 11%
Id County Canyon $63 11%
Id County Cat Fund $63 11%
Id County Other $63 11%
Id County Payette $63 11%
Idaho Dept Health And Wellfare $63 11%
Idaho Womens Health Check $63 11%
Indiana Breast Cervical Cancer $63 11%
Inland Empire Health Plan $63 11%
Intercommunity Health Ohp $63 11%
Iowa Total Care $63 11%
Jai Medical System $63 11%
Kern Family Health Plan $63 11%
Keystone First $63 11%
Keystone First Chip $63 11%
La Care Health Plan $63 11%
Lakeland Care Inc $63 11%
Managed Health Services - Indiana $63 - $789 11%
Maryland Breast & Cervical Program $63 11%
Maryland Healthy Smiles - Scion Dental $63 11%
Maryland Physicians Care $63 11%
Massachusetts Behavioral Health Partnership $63 11%
Mdwise $63 - $789 11%
Medi-Cal $63 11%
Medi-Cal Healthnet $63 11%
Medstar Dc Healthy Family $63 11%
Medstar Md Health Choice $63 11%
Mo Home State Health Plan $63 11%
Molina Centennial Care $63 11%
Nascentia Health Options $63 11%
Nebraska Total Care $63 11%
New York Cancer Services Program $63 11%
Nextlevel Health $63 11%
Oregon Screenwise $63 11%
Pace Of Southwest Michigan $63 - $64 11%
Paramount Advantage $63 11%
Parkland Community Health Plan $63 11%
Partners Behavioral Lme $63 11%
Peach State Healthplan $63 11%
Philadelphia County Funding $63 11%
Presbyterian Centennial Care $63 11%
Prestige Health Choice $63 11%
Priority Partners $63 11%
Robert F Sing Program $63 11%
Rx 340B Pass Along $63 11%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $63 11%
Rx Medi-Cal $63 11%
Rx Meridian Rx $63 11%
Ryan White Florida Mssrp $63 11%
Sandhills Center Lme $63 11%
Screening For Life $63 11%
St Joseph County Hlth Dpt $63 - $867 11%
Stephenson Cty Health $63 11%
Sunshine State Health Plan $63 11%
Superior Health $63 11%
Tenncare $63 11%
Texas Children'S Health Plan $63 11%
Tricare $63 11%
Trillium Community Ohp $63 11%
Triwest Health Alliance $63 11%
Tufts Health Public Plans $63 11%
UnitedHealthcare $63 - $1,956 11%
Us Family Health Plan $63 11%
Vaya Health Lme $63 11%
Veterans Eval Services $63 11%
Washtenaw Health Plan $63 11%
Wellsense Health Plan $63 11%
Wi Womens Wellness $63 11%
Align Senior Care $64 11%
Ally Align Care Adv $64 11%
American Health Advantage Of Idaho $64 11%
American Health Plan $64 11%
Aurora Special Needs $64 11%
Blue Care Network Advantage $64 11%
Blue Shield - De (Highmark) Medciare Advantage $64 11%
Care Dimensions $64 11%
Care Improvement Plus $64 11%
Care Resources Pace $64 11%
Careplus Health Plans $64 11%
Cca - Zing Health $64 11%
Cca Senior Care Options $64 11%
Central Valley Medical Services Corp Pace $64 11%
Champion Health Plan Mcr Advantage $64 11%
Clear Spring Health $64 11%
Clover Health $64 11%
Commonwealth Care Alliance $64 11%
Community Pace At Home $64 11%
Eddy Senior Care-Pace $64 11%
Eddy Seniorcare Pace $64 11%
Elementcare $64 11%
Evercare $64 11%
Everence $64 11%
Gateway Health Plan $64 11%
Genesys Pace Of Genesee County $64 11%
Georgia Health Advantage $64 11%
Gold Advantage $64 11%
Gpa Croell Redi Mix $64 11%
Health America Advantra $64 11%
Highmark Health Options Dual Plan $64 11%
Hope Select Pace $64 11%
Horizon Nj Total Care $64 11%
Hudson Headwaters Pace $64 11%
Huron Valley Pace $64 11%
Innovative Integrated Health Community Plans $64 11%
Iowa Health Advantage $64 11%
Johns Hopkins Advantage Md $64 11%
Lasso Healthcare Msa $64 11%
Life St Marys Pace $64 11%
Lifecircles Pace $64 11%
Longevity Health Plan $64 11%
Longevity Ipa Of Michigan Llc Health Plan Isnp $64 11%
Martins Point Generations Advantage $64 11%
Mass General Brigham Mcr Adv $64 11%
Medicare (plans) $64 - $590 11%
Medipak Advantage $64 11%
Mercy Life $64 11%
Mercyone Cedar Valley $64 11%
Meridian Complete $64 - $578 11%
Michigan Complete Health $64 11%
Nascentia Health Plus $64 11%
New Centry Health Careplus $64 11%
Osu Prime Care Advantage $64 11%
Pace Cny $64 11%
Pace Iowa Immanuel Pathways $64 11%
Pace Southeast $64 11%
Pace-Trinity Health $64 - $578 11%
Peak Pace Solutions $64 11%
Perennial Advantage $64 11%
Preferred Care Partners $64 11%
Presbyterian Senior Plan $64 11%
Provider Partners Health Plan Of Illinois $64 11%
Pruitthealth Premier $64 11%
Reliance Community Care Partners Care Resources Pace $64 11%
Rx Allwin $64 11%
Rx Grane Grnmedd $64 11%
Rx Retiree Rx Care $64 11%
Scan Health Plan Mcr Ipa Meritage Oon $64 11%
Secure Horizons Ma Pffs $64 11%
Serenity Pace $64 11%
Siouxland Pace $64 11%
Solis Health Plans $64 11%
Sunnyview-Pace Finance Dept $64 11%
Texan Plus $64 11%
The Health Plan $64 11%
Thome Pace $64 11%
Todays Options $64 11%
Tribute Health Plans $64 11%
Um Health Advantage $64 11%
Union Health Service $64 11%
Welbe Health $64 11%
Wellmed $64 11%
Andrie Inc $65 12%
East Greenbush Central School District $65 12%
Genex Wc $65 12%
Healthsmart Workers Comp $65 12%
Jag Source $65 12%
New York State Insurance Fund $65 12%
Njm Insurance Group $65 12%
Rx Heatlhcomp $65 12%
Rx Restat $65 12%
Rx Saif Opdp Wc $65 12%
Rx Worker'S Comp $65 12%
Veterans Administration $65 12%
Wc Accident Fund $65 12%
Wc Ace $65 12%
Wc Acs Federal Employees $65 12%
Wc Acuity $65 12%
Wc Advantage $65 12%
Wc Aegis $65 12%
Wc Aig $65 12%
Wc Aims $65 12%
Wc Alaska National Ins $65 12%
Wc Align Network $65 - $3,071 12%
Wc Allied $65 12%
Wc Am Trust N America $65 12%
Wc American Claims Mgmt $65 12%
Wc Amerisure $65 12%
Wc Amtrust $65 12%
Wc Asu Risk Mgt $65 12%
Wc Benetech $65 12%
Wc Berkley Admin $65 12%
Wc Broadspire $65 12%
Wc Broward County $65 12%
Wc Bunch & Associates $65 12%
Wc California State Comp Ins $65 12%
Wc California State Ins Fund $65 12%
Wc Capitol Area Health Consortium $65 12%
Wc Ccmsi $65 12%
Wc Chartis $65 12%
Wc Chubb $65 12%
Wc Cirma $65 12%
Wc City Of Albany $65 12%
Wc City Of Sioux City $65 12%
Wc Claims Mgmt Inc $65 12%
Wc Cna $65 12%
Wc Comp One Admin C/O Manageability $65 12%
Wc Compone Admin $65 12%
Wc Corvel $65 12%
Wc Ct Healthcare Trust $65 12%
Wc Donegal Insurance Group $65 12%
Wc Emc Insurance Company $65 12%
Wc Employee Mutual $65 12%
Wc Enablecomp $65 12%
Wc Erie $65 12%
Wc Esis $65 12%
Wc Evolutions $65 12%
Wc Fcci $65 12%
Wc Fed Ex $65 12%
Wc Federal Black Lung $65 12%
Wc Federated $65 12%
Wc Finley Occupational Health $65 12%
Wc First Agency/Occunet $65 12%
Wc Ford Motor $65 12%
Wc Fresno Unified Emp $65 12%
Wc Gallagher Bassett $65 12%
Wc General Motors $65 12%
Wc Generic $65 12%
Wc Genex Care For Ohio $65 12%
Wc Great West Casualty $65 12%
Wc Guarantee Insurance $65 12%
Wc Guard Insurance Company $65 12%
Wc Hab $65 12%
Wc Hartford $65 12%
Wc Hastings $65 12%
Wc Health Management $65 12%
Wc Heritage Summit $65 12%
Wc Hireright $65 12%
Wc Horizon $65 12%
Wc Icw Group $65 12%
Wc Idaho State Ins Fund $65 12%
Wc Intercare Insurance $65 12%
Wc Intermountain $65 12%
Wc Johns Eastern $65 12%
Wc Kemberton $65 12%
Wc Key Ins & Benefit Solutions $65 12%
Wc Liberty Mutual $65 12%
Wc Mac Risk Management $65 12%
Wc Massachusetts $65 12%
Wc Mdia $65 12%
Wc Meadowbrook Claim $65 12%
Wc Medical Administrators $65 12%
Wc Meijers $65 12%
Wc Memic $65 12%
Wc Mercy Workcare $65 12%
Wc Michigan $65 12%
Wc Michigan Millers Mutual $65 12%
Wc Mitchell Frankenmuth $65 12%
Wc Mra $65 12%
Wc Nationwide $65 12%
Wc Nca Comp $65 12%
Wc New York $65 12%
Wc New York Special Funds $65 12%
Wc North American Rishces $65 12%
Wc Northeast Health $65 12%
Wc Notre Dame $65 - $1,689 12%
Wc Novanet $65 12%
Wc O'Hara Corp $65 12%
Wc Occ Health Allen $65 12%
Wc Ohio Bureau $65 12%
Wc One Call Medical $65 12%
Wc Paradigm $65 12%
Wc Peerless $65 12%
Wc Pma $65 12%
Wc Praxis Health Network $65 12%
Wc Price Chopper $65 12%
Wc Procura Management $65 12%
Wc Qualcare $65 12%
Wc Quiktrip $65 12%
Wc Reny Company $65 12%
Wc Rev Claims $65 12%
Wc Risico $65 12%
Wc Rural Mutual $65 12%
Wc Saif Oregon $65 12%
Wc Secura $65 12%
Wc Sedgwick $65 12%
Wc Sentry $65 12%
Wc Sheakley Unicomp $65 12%
Wc Smile Lodge $65 12%
Wc Society $65 12%
Wc Srs $65 12%
Wc Taconic (Mro) $65 12%
Wc Taconic Farms $65 12%
Wc Travelers $65 12%
Wc Triad Group $65 12%
Wc Tristar $65 12%
Wc Troy Ny $65 12%
Wc Tyson $65 12%
Wc Unified Health Services $65 12%
Wc United Heartland $65 12%
Wc Us Dept Of Labor $65 12%
Wc Velocity $65 12%
Wc Walmart $65 12%
Wc West Bend $65 12%
Wc West Bend Mutual/Argent $65 12%
Wc Winnebago Industries $65 12%
Wc Yankee Trails $65 12%
Wc York Risk $65 12%
Wc Zenith $65 12%
Wc Zurich $65 12%
Provider Partners Health Plan Of Indiana $72 - $636 13%
Christian Brother Services $78 - $1,996 14%
Meritain $78 - $1,996 14%
Preferred One $78 - $1,996 14%
Caresource $85 - $896 15%
Ameriben $86 - $1,843 15%
Bcn Domestic $121 22%
Blue Benefit Administrators Of Massachusetts $121 - $2,041 22%
Blue Care Network $121 - $2,041 22%
Blue Distinction Transplant $121 - $2,041 22%
Blue Shield - Ca $121 - $2,041 22%
Blue Shield - Id (Regence) $121 - $2,041 22%
Blue Shield - Ny Highmark Northeastern $121 - $2,041 22%
Blue Shield - Ny Highmark Western $121 - $2,041 22%
Blue Shield - Pa (Highmark) $121 - $2,041 22%
Blue Shield - Wa (Regence) $121 - $2,041 22%
Health Choices $121 22%
Kaiser Domestic $121 22%
Pre-Employment $121 22%
Wc Domestic $121 22%
Geha $123 - $1,956 22%
Phcs $129 - $147 23%
Allied Benefit Systems $141 - $1,996 25%
Auxiant $141 - $2,549 25%
Benefit Administrative Systems,Llc $141 25%
Community Health Alliance $141 25%
Custom Design Benefits $141 - $1,243 25%
Encore Health $141 - $1,911 25%
Key Benefit Administrator $141 - $1,911 25%
Luminare Health (Detroit) $141 - $1,843 25%
Physicians Health Plan Northern Indiana Health Insurance $141 - $1,746 25%
Plain Church Group $143 - $829 26%
Sagamore Health Network $143 - $2,273 26%
Signature Care $143 - $2,457 26%
Wc Encore Health Network $143 - $163 26%
Bureau Of Disability $414 74%
Hospice Of Marshall County $798 143%
Hospice Of St Joseph County $798 143%
Siho Insurance Services $925 166%
Notre Dame Athletic Association $1,689 303%
Indiana Criminal Justice Inst $1,911 342%
Western & Southern Financial Group $1,911 342%
Healthscope $1,956 350%
Student Insurance Cma $1,956 350%
Group Administrators $1,965 352%
Health Partners $1,965 352%
Mvp $1,965 352%
Prairie States $1,965 352%
Priority Health $1,965 352%
Professional Benefit Administrators $1,965 352%
Sisco Benefits $1,965 352%
Unified Group Services $1,965 352%
Asr Health Benefits $1,996 358%
Employee Benefit Management $1,996 358%
Medical Mutual $1,996 358%
Rural Carrier Health Benefit Plan $1,996 358%
Webtpa $1,996 358%
Goshen Preferred Network $2,365 - $2,641 424%
Christian Brothers Holy Cross $2,457 440%
Bankers Life Casualty $3,071 550%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals