CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Franciscan Health Crown Point

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,904
Cash Discount Price: $819
vs. Medicare Baseline: 3.41x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Franciscan Health Crown Point is $1,904. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $819. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.41x the Medicare baseline. Located in 1201 S Main St, Crown Point, IN.

Cash / Self-Pay

$819

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,904

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: $819 (147%)

Insurance Median: $1,904 (341%)

Cash: $819 (147% of Medicare)

Ins. Median: $1,904 (341% 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 341% of the Medicare baseline (a markup of 241%). 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
Blue Cross Blue Shield	$328 - $2,221	59%
Unicare [1150]	$328 - $1,900	59%
Medicare (plans)	$565 - $578	101%
Managed Health Services [1302]	$649 - $813	116%
Mdwise [1175]	$649	116%
Medicaid / KanCare	$649 - $946	116%
Workers Comp [1172]	$1,130 - $1,156	202%
Aetna	$1,301 - $2,062	233%
Managed Care [2000]	$1,301 - $3,173	233%
Cigna	$1,352 - $2,164	242%
Commercial [2001]	$1,904 - $3,173	341%
Great West Insurance [1055]	$2,164	388%
United Medical Resources [1158]	$2,189 - $2,411	392%
United Medical Resources [1301]	$2,189 - $2,411	392%
UnitedHealthcare	$2,189 - $2,411	392%

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 $819.
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 Franciscan Health Crown Point 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.