Indiana · 93308

Ultrasound Of Heart, Follow-Up in Indiana

Indiana Medicare Avg
$18.98
21% below national avg
National Medicare Avg
$23.97
All states combined
Billed Charge (IN)
$107.89
What providers submit
Est. Commercial (IN)
$51.40
National avg: $66.84
Est. Cash / Self-Pay (IN)
$48.03
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

12.1K
Services in IN
628
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Indiana

Provider Medicare Services
Shmukler, Edward MD $20.14 198
Sharieff, Amin MD $19.02 186
Husseini, Omar M.D. $18.36 171
Hussain, Sulman D.O. $18.10 123
Powers, Christopher MD $18.63 117

Indiana Pricing in Context

In Indiana, CPT code 93308 (Ultrasound Of Heart, Follow-Up) carries an average Medicare payment of $18.98 — 21% below the national benchmark of $23.97. 628 providers across the state submitted claims for this procedure in 2023, performing 12.1K total services. Individual payments in IN ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Indiana is $107.89, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Indiana sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in Indiana lands near $51.40, with self-pay cash prices typically around $48.03. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Ultrasound Of Heart, Follow-Up cost in Indiana?

The average Medicare payment for Ultrasound Of Heart, Follow-Up in Indiana is $18.98, which is 21% below the national average of $23.97. Providers in IN typically bill $107.89 for this procedure.

What does Ultrasound Of Heart, Follow-Up cost with insurance in Indiana?

With commercial insurance in Indiana, Ultrasound Of Heart, Follow-Up costs an estimated $51.40. Without insurance, the estimated cash price is $48.03. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Ultrasound Of Heart, Follow-Up in Indiana?

628 providers in Indiana billed Medicare for Ultrasound Of Heart, Follow-Up in 2023, performing 12.1K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Ultrasound Of Heart, Follow-Up cheaper in Indiana than the national average?

Yes — Ultrasound Of Heart, Follow-Up costs 21% below the national average in Indiana. The state average Medicare payment is $18.98 compared to $23.97 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial