CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Norton-King's Daughters' Health

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,570
Cash Discount Price: $665
vs. Medicare Baseline: 4.60x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Norton-King's Daughters' Health is $2,570. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $665. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.60x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.

Cash / Self-Pay

$665

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,570

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: $665 (119%)

Insurance Median: $2,570 (460%)

Cash: $665 (119% of Medicare)

Ins. Median: $2,570 (460% 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 460% of the Medicare baseline (a markup of 360%). 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
Aetna	$59 - $2,661	11%
Blue Cross Blue Shield	$574 - $2,232	103%
Humana	$574	103%
UnitedHealthcare	$574 - $2,374	103%
Managed Health Services	$592 - $890	106%
Caresource Of Kentucky	$804	144%
Caresource Of Indiana	$862	154%
Custom Design Benefits	$1,149 - $1,512	206%
Cigna	$2,570	460%
Encore	$2,570	460%
Quality Care Partners	$2,691	482%
Bluegrass	$2,722	488%
First Health	$2,722	488%
Healthlink	$2,722	488%
Vha/Tristate	$2,722	488%
Multiplan/Phcs	$2,782	498%
Indiana Health Network	$2,873	515%
Siho	$2,873	515%

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 $665.
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 Norton-King's Daughters' Health 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.