CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Perry County Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,749
Cash Discount Price: $1,878
vs. Medicare Baseline: 3.13x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Perry County Memorial Hospital is $1,749. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,878. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.13x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$1,878

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,749

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: $1,878 (336%)

Insurance Median: $1,749 (313%)

Cash: $1,878 (336% of Medicare)

Ins. Median: $1,749 (313% 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 313% of the Medicare baseline (a markup of 213%). 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
Medicaid / KanCare	$494 - $3,220	88%
Veterans Administration	$537 - $3,220	96%
Bc 130	$558 - $2,573	100%
Group Insurance	$558 - $3,220	100%
Medicare (plans)	$558 - $837	100%
Workers Compensation	$1,074 - $1,610	192%
Nsa	$1,262 - $1,988	226%
Guarantor Liable	$1,503 - $3,220	269%
Pcmh Insurnace	$1,675 - $3,220	300%
Secondary Insurance	$1,715 - $2,573	307%
UnitedHealthcare	$1,715 - $2,573	307%
Operating Engineers	$1,825 - $2,737	327%
Boilermakers Healthcare	$1,868 - $2,801	335%
Cigna	$1,868 - $2,801	335%
Great West	$1,868 - $3,220	335%
Sagxxxx	$1,868 - $2,801	335%
Champus	$2,147 - $3,220	385%
Ngs American, Inc	$2,147 - $3,220	385%
Patoka Valley	$2,147 - $3,220	385%
Southwire	$2,147 - $3,220	385%
Tricare	$2,147 - $3,220	385%
Wausau Benefits	$2,147 - $3,220	385%

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 $1,878.
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 Perry County 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.