CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Joseph Health System, LLC

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $241
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Joseph Health System, LLC is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.43x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$241

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: $128 (23%)
Insurance Median: $241 (43%)
Cash: $128 (23% of Medicare)
Ins. Median: $241 (43% 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
Amish Aid $38 - $1,409 7%
Self Pay $38 - $3,229 7%
Php $39 - $2,346 7%
Lutheran Preferred $45 - $3,523 8%
Php Freedom Network $49 - $1,840 9%
Cigna $51 - $5,871 9%
Blue Cross Blue Shield $57 - $2,376 10%
Lutheran Network $71 - $3,229 13%
Three Rivers $71 - $2,642 13%
Aetna $72 - $3,992 13%
Encore Ppo $80 - $5,284 14%
Sagamore $82 - $3,176 15%
Multiplan $108 - $4,579 19%
First Health $118 - $4,403 21%
Prime Health Services $118 - $4,403 21%
Align Network $126 - $4,697 23%
Frontpath Health Coalition $126 - $4,697 23%
Advantage Health Solutions $130 - $4,873 23%
Allied Benefit Systems $141 - $5,284 25%
Medical Mutual Of Ohio $157 - $5,871 28%
Parkview Healthplan Services $157 - $5,871 28%
Value Options $157 - $5,871 28%
Veterans Eval Services $157 - $504 28%
UnitedHealthcare $180 - $2,924 32%
Tricare $549 98%
Humana $569 - $789 102%
Managed Health Services $569 - $1,156 102%
Medicare (plans) $569 102%
Department Of Veterans Affairs $578 104%
Node Hospice Non Par Agree $578 104%
Node Va $578 104%
Node Devoted Health Mcr Adv $580 104%
In Dept Of Correction $601 108%
Node Pphp Mcr Adv $607 109%
Us Department Of Labor $723 130%
Caresource $789 141%
Medicaid / KanCare $789 141%
Lutheran Advanced Network $867 155%
Encore Work Comp In $1,041 186%
Work Comp $1,156 207%
Encore Kba Epo $1,387 248%
Encore Kba Ppo $1,734 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals