CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Joseph's Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $3,346
  • Cash Discount Price: $2,834
  • vs. Medicare Baseline: 5.99x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Joseph's Hospital is $3,346. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,834. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.99x the Medicare baseline. Located in 12866 Troxler Avenue, Highland, IL.
Cash / Self-Pay
$2,834

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,346

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: $2,834 (508%)
Insurance Median: $3,346 (599%)
Cash: $2,834 (508% of Medicare)
Ins. Median: $3,346 (599% 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 599% of the Medicare baseline (a markup of 499%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Molina Healthcare $787 - $3,936 141%
Sae Hospice $787 - $3,936 141%
Blue Cross Blue Shield $787 - $3,936 141%
Aetna $787 - $3,936 141%
Humana $787 - $3,936 141%
Clear Spring Health of Illinois $787 - $3,936 141%
UnitedHealthcare $787 - $3,936 141%
Meridian Health Plan $915 164%
Caterpillar, Inc. $953 171%
Amish Community $1,102 197%
Naphcare $1,653 - $8,266 296%
Celtic Insurance Company $1,732 - $3,936 310%
Claim Doc $1,968 - $9,840 353%
Hopetrust $1,968 - $3,936 353%
Wellfirst $2,520 451%
Cigna $2,637 472%
First Health $2,909 521%
Healthlink $3,346 599%
Multiplan/Phcs $3,346 599%
Provider Network of America $3,542 634%
Healthcare Finest Network (Hfn) $3,542 634%
Illinois Breast and Cervical Cancer Program $3,936 705%
Interplan $3,936 705%
Consociate Group $3,936 705%
Healthscope $3,936 705%
Mental Health Network $3,936 705%
Current Health Solutions $3,936 705%
Health Alliance Medical Plans $3,936 705%
Qtc Medical Group of Illinois $3,936 705%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12866 Troxler Avenue, Highland, IL 62249
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals