CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Elkhart General Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,242
Cash Discount Price: $1,193
vs. Medicare Baseline: 2.22x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Elkhart General Hospital is $1,242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,193. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.22x the Medicare baseline. Located in 600 E Blvd, Elkhart, IN.

Cash / Self-Pay

$1,193

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,242

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: $1,193 (214%)

Insurance Median: $1,242 (222%)

Cash: $1,193 (214% of Medicare)

Ins. Median: $1,242 (222% 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 222% of the Medicare baseline (a markup of 122%). 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
Mclaren (Mi	$308	55%
UnitedHealthcare	$308 - $1,233	55%
Devoted Healthcare	$367 - $603	66%
Blue Cross Blue Shield	$384 - $1,713	69%
Aetna	$574 - $1,242	103%
Humana	$574 - $1,284	103%
Pace	$574	103%
Plain Church	$862 - $1,468	154%
Caresource	$919 - $2,386	165%
Mhs	$1,034 - $2,386	185%
Cha	$1,101 - $1,431	197%
Immergrun	$1,101 - $1,468	197%
Php	$1,193 - $1,284	214%
Cigna	$1,321 - $1,395	237%
Multiplan	$1,321	237%
Signature	$1,340	240%
Encore	$1,358	243%
Heartland	$1,835	329%
Mdwise	$2,386	427%

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 $1,193.
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 Elkhart General 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.