CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Henry County Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $586
Cash Discount Price: $674
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Henry County Memorial Hospital is $586. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $674. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.05x the Medicare baseline. Located in 1000 N 16Th St, New Castle, IN.

Cash / Self-Pay

$674

Average discount available for prompt cash payment at this facility.

Insurance Median

$586

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: $674 (121%)

Insurance Median: $586 (105%)

Cash: $674 (121% of Medicare)

Ins. Median: $586 (105% 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.

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
UnitedHealthcare	$57 - $2,523	10%
Humana	$63 - $2,727	11%
Blue Cross Blue Shield	$65 - $3,099	12%
Caresource Hip	$65 - $586	12%
Caresource Mcr Adv	$67 - $598	12%
Aetna	$74 - $2,634	13%
Encore Workers Comp-All Plans	$76 - $2,944	14%
Caresource Marketplace-All Other Plans	$88 - $1,114	16%
Caresource Just4Me	$98 - $1,465	18%
Caresource Mcaid	$181 - $3,192	32%
Cigna	$265 - $2,107	47%
Health Alliance-All Plans	$450 - $2,634	81%
Workers Comp - All Plans	$477 - $2,789	85%

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 $674.
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 Henry County Memorial 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.