CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Franciscan Health Michigan City

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,417
Cash Discount Price: $832
vs. Medicare Baseline: 4.33x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Franciscan Health Michigan City is $2,417. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $832. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.33x the Medicare baseline. Located in 3500 Franciscan Way, Michigan City, IN.

Cash / Self-Pay

$832

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,417

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: $832 (149%)

Insurance Median: $2,417 (433%)

Cash: $832 (149% of Medicare)

Ins. Median: $2,417 (433% 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 433% of the Medicare baseline (a markup of 333%). 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
Blue Cross Blue Shield	$328 - $2,001	59%
Unicare [1150]	$328 - $1,994	59%
Medicare (plans)	$565 - $578	101%
Mdwise [1175]	$649	116%
Medicaid / KanCare	$649 - $946	116%
Managed Health Services [1302]	$813	146%
Workers Comp [1172]	$1,130 - $1,156	202%
Aetna	$1,641 - $3,002	294%
Managed Care [2000]	$1,641 - $3,602	294%
Commercial [2001]	$2,397 - $4,002	429%
United Medical Resources [1158]	$2,397	429%
United Medical Resources [1301]	$2,397 - $2,665	429%
UnitedHealthcare	$2,397 - $2,665	429%
Cigna	$2,417 - $2,801	433%
Great West Insurance [1055]	$2,417	433%

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 $832.
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 Franciscan Health Michigan City 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.