CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Bluffton Regional Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $231
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Bluffton Regional Medical Center is $231. 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 0.41x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$231

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: $231 (41%)
Cash: $128 (23% of Medicare)
Ins. Median: $231 (41% 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 - $1,648 7%
Physicians Health Plan $38 - $1,664 7%
Self Pay $38 - $3,776 7%
Lutheran Preferred Network $47 - $5,493 8%
Php Freedom Network $49 - $2,152 9%
Cigna $50 - $2,431 9%
Php $50 - $2,188 9%
Aetna $57 - $3,062 10%
Php Management Systems $61 - $2,659 11%
Lutheran Trma $63 - $3,090 11%
UnitedHealthcare $73 - $3,392 13%
Encore Ppo $77 - $3,357 14%
Sagamore Sebt $80 - $3,509 14%
Sagamore Health Newtork Inc $84 - $3,680 15%
Consumer Life $97 - $4,257 17%
Ahg Dana Employees $102 - $4,463 18%
Align Networks $110 - $4,806 20%
Prime Health Services $118 - $5,150 21%
Private Healthcare Systems Inc $118 - $5,150 21%
Multiplan $126 - $5,493 23%
Encore Health Network $129 - $6,179 23%
Advantage 360 $130 - $5,699 23%
Community Health Alliance $133 - $5,836 24%
First Health $135 - $5,905 24%
Allied Benefit Systems $141 - $6,179 25%
Cardinal Health Alliance $141 - $6,179 25%
Ppom $141 - $6,179 25%
Veterans Eval Services $157 - $504 28%
Tricare $549 98%
Blue Cross Blue Shield $569 - $2,376 102%
Medicare (plans) $569 102%
Node Iu Health Mcr Adv $569 102%
Node Mhs Mcr Adv $569 102%
Department Of Veterans Affairs $578 104%
Humana $578 - $789 104%
Node Non Par Hospice Agree $578 104%
Node Va $578 104%
Northeast Hospice $578 104%
Node Caresource Mcr Adv $580 104%
Node Devoted Health Mcr Adv $580 104%
County Jail Health Care $601 108%
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%
Mhs $789 141%
Mhs In Hip $789 141%
Lutheran Advanced Network $867 155%
Lutheran Three Rivers Preferred Plus 150 $867 155%
Lutheran Three Rivers Preferred Plus 175 $1,012 181%
Encore Work Comp In $1,041 186%
Lutheran Northwest Health Preferred $1,156 207%
Managed Health Services Exchange $1,156 207%
Workers Compensation $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: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals