CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Woodlawn Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,529
Cash Discount Price: $2,588
vs. Medicare Baseline: 4.53x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Woodlawn Hospital is $2,529. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,588. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.53x the Medicare baseline. Located in 1400 E 9Th St, Rochester, IN.

Cash / Self-Pay

$2,588

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,529

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: $2,588 (464%)

Insurance Median: $2,529 (453%)

Cash: $2,588 (464% of Medicare)

Ins. Median: $2,529 (453% 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 453% of the Medicare baseline (a markup of 353%). 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	$759 - $3,278	136%
Blue Cross Blue Shield	$759 - $3,450	136%
Caresource Mcaid Hip	$759	136%
Caresource Mcr Adv	$759	136%
Humana	$759 - $2,677	136%
Mdwise Mcaid Excel Hip	$759	136%
Mhs Exch Mrktplce-All Other Plans	$759	136%
Mhs Mcaid Hip	$759	136%
UnitedHealthcare	$759 - $3,450	136%
Mhs Mcr Adv	$774	139%
Caresource Exch - All Other Plans	$987	177%
Ambetter / Centene	$1,009	181%
Partners Direct Health-All Plans	$2,346	420%
Cigna	$2,470 - $2,932	442%
Parkview Health Plans-All Plans	$2,588	464%
Sagamore All Other Grps - All Other Plans	$2,898	519%
Encore Comm-All Plans	$2,932	525%
Phcs/Multiplan-All Plans	$3,208	575%
Community Health Alliance-All Plans	$3,278	587%
Caresource Mcaid Hww	$3,450	618%
Mhs Mcaid Hcc	$3,450	618%
Mhs Mcaid Hhw	$3,450	618%

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 $2,588.
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 Woodlawn 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.