CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Pulaski Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,650
Cash Discount Price: $2,836
vs. Medicare Baseline: 4.75x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Pulaski Memorial Hospital is $2,650. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,836. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.75x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$2,836

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,650

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: $2,836 (508%)

Insurance Median: $2,650 (475%)

Cash: $2,836 (508% of Medicare)

Ins. Median: $2,650 (475% 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 475% of the Medicare baseline (a markup of 375%). 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
Ambetter / Centene	$1,256	225%
Blue Cross Blue Shield	$1,256 - $4,051	225%
Caresource Mcaid Hip	$1,256	225%
Caresource Mcare Hmo	$1,256	225%
Cenpatico Mcaid Hip	$1,256	225%
Mdwise Mcaid Hip - All Other Plans	$1,256	225%
Mhs Mcaid Hip	$1,256	225%
UnitedHealthcare	$1,256 - $4,051	225%
Humana	$1,268 - $3,257	227%
Mhs Mcare Allwell	$1,268	227%
Aetna	$1,458	261%
Caresource Exch Hmo Hix - All Other Plans	$1,570	281%
Sagamore Rose Acre	$3,018	541%
Sagamore - All Other Plans	$3,063	549%
Encore Ppo - All Other Plans	$3,443	617%
Community Health Alliance - All Plans	$3,605	646%
Encore Workers Comp	$3,646	653%
Multiplan - All Plans	$3,646	653%
Cigna	$3,848	689%
Caresource Mcaid Hhw	$4,051	726%
Cenpatico Mcaid Hhw - All Other Plans	$4,051	726%
Mdwise Mcaid Hcc	$4,051	726%
Mdwise Mcaid Hhw	$4,051	726%
Mhs Mcaid Hhw/Hcc	$4,051	726%

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 $2,836.
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 Pulaski 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.