CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Indiana Regional Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $388
Cash Discount Price: $802
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Indiana Regional Medical Center is $388. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $802. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.70x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.

Cash / Self-Pay

$802

Average discount available for prompt cash payment at this facility.

Insurance Median

$388

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: $802 (144%)

Insurance Median: $388 (70%)

Cash: $802 (144% of Medicare)

Ins. Median: $388 (70% 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.

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
UnitedHealthcare	$113 - $891	20%
Upmc Health Plan	$118 - $1,137	21%
Amerihealth Caritas	$130 - $589	23%
Geisinger Health Plan	$130 - $589	23%
Ambetter / Centene	$132 - $589	24%
Highmark	$149 - $1,569	27%
Tricare	$178 - $2,228	32%
Humana	$182 - $561	33%
Aetna	$183 - $1,744	33%
Cigna	$185 - $1,402	33%
Highmark Wholecare	$185 - $570	33%
Medicare (plans)	$185 - $570	33%
United Mine Workers Of America	$185 - $570	33%
Geisinger	$258 - $1,596	46%
Pa Health And Wellness Commercial	$258 - $1,596	46%
Department Of Human Services And Torrance State Hospital	$1,404	252%
Premier Comp Solutions, Llc	$2,005	359%
Miscellaneous Commercial	$2,228	399%
Pa Workers Compensation	$2,228	399%

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 $802.
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 Indiana Regional Medical Center 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.