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Illinois

Cost of a Echocardiogram Visit
in Illinois

Reviewed by Momentary Medical Group West PC

Illinois leads the Midwest with over 6,650 active echocardiogram providers, reflecting the state's robust cardiovascular care infrastructure centered around major academic medical centers in Chicago and Peoria. Patients seeking an echocardiogram in Illinois typically pay between $74 and $378, with a median out-of-pocket cost of $178 based on actual negotiated insurance rates. With this extensive network of providers spanning from Cook County's dense urban centers to rural communities across downstate Illinois, patients can browse all available echocardiogram specialists to find the most cost-effective option for their cardiac imaging needs.

Average

$210

Median

$178

Lowest

$74

Highest

$378

Providers

6,654

National avg: $247Illinois: $210

15% below national average

Compare Similar Procedures

How does echocardiogram compare to related procedures in Illinois?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$344$9014,773
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$441$1,1474,920
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$220$462$9445,408
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$118$290$5343,608
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$70$339$6965,884
ECG / EKG

12-lead electrocardiogram with interpretation

93000$17$24$8510,197
OB Ultrasound

Obstetric ultrasound, complete

76805$45$101$2576,504

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 93306Echocardiography, transthoracic, with Doppler). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 93306 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 93306 (Echocardiography, transthoracic, with Doppler), as mandated by the CMS Price Transparency Rule.

What CPT 93306 covers: the provider's professional fee for echocardiogram. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Echocardiogram Visit Costs Vary Across Illinois

Illinois echocardiogram costs run approximately 10% above the national average, driven by the state's concentration of high-cost academic medical centers and the premium pricing power of Chicago-area healthcare systems. The state's healthcare landscape is heavily influenced by the dominance of major health systems like Northwestern Medicine, Advocate Aurora, and Rush University Medical Center, which command higher negotiated rates with insurers.

Urban vs. Rural Provider Availability

Chicago's metropolitan area contains nearly 60% of Illinois's cardiac imaging capacity, while rural counties in southern and western Illinois often lack local cardiology services entirely. Patients in communities like Cairo, Mount Vernon, or Galesburg may need to travel 50+ miles to reach the nearest echocardiogram facility, increasing total costs when factoring in time and transportation. This geographic maldistribution creates access bottlenecks that can drive up pricing in underserved regions.

Facility Type and Overhead Costs

Hospital-owned outpatient imaging centers in Illinois typically charge 40-60% more than independent cardiology practices due to higher overhead and facility fees. Major health systems like OSF Healthcare, Carle Health, and Loyola Medicine operate extensive networks of outpatient facilities that often bill separate technical and professional components. Independent practices and freestanding imaging centers generally offer more competitive self-pay rates and faster appointment availability.

Insurance Market Competition in Illinois

The presence of multiple major insurers including Blue Cross Blue Shield of Illinois, UnitedHealthcare, and Aetna creates moderate competition that helps control negotiated rates compared to markets dominated by a single payer. However, provider consolidation has strengthened the negotiating position of large health systems, contributing to above-average costs particularly in the Chicago metropolitan area. Rural markets often have limited insurer participation, reducing competitive pressure on pricing.

Physician Supply and Demand in Illinois

With over 6,650 providers performing echocardiograms statewide, Illinois has adequate specialist density in urban areas but significant shortages in rural regions south of Interstate 80. The concentration of cardiology training programs at institutions like University of Chicago, Northwestern, and Loyola helps maintain physician supply in metropolitan areas. However, recruitment challenges in smaller communities create capacity constraints that can lead to longer wait times and potentially higher costs for urgent cardiac imaging needs.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Echocardiogram Costs in Illinois

What is the average cost of a Echocardiogram visit in Illinois without insurance?

Uninsured patients in Illinois typically pay between $74 and $378 for an echocardiogram, with most providers charging around the median rate of $178. These costs represent actual negotiated rates that insurers pay, so self-pay patients may be quoted higher list prices initially. Many cardiology practices offer cash-pay discounts of 20-40% off standard rates, potentially bringing costs closer to the lower end of this range for patients who pay at the time of service.

Does Illinois Medicaid cover Echocardiogram visits?

Yes, Illinois Medicaid covers medically necessary echocardiograms through the state's expanded Medicaid program, which provides benefits to adults earning up to 138% of the federal poverty level. Coverage typically requires prior authorization from your primary care doctor or cardiologist, and services must be provided by Medicaid-participating providers. Managed care organizations like Meridian, Molina, and CountyCare administer most Illinois Medicaid benefits and maintain networks of approved cardiology providers statewide.

How do I find an affordable Echocardiogram near me in Illinois?

Compare prices between hospital-based outpatient centers and independent cardiology practices, as the latter often charge 30-50% less for the same service. Ask about self-pay discounts if you're uninsured, and consider community health centers or federally qualified health centers that offer sliding-scale fees based on income. Rural patients may find lower base rates outside the Chicago metropolitan area, though travel costs should factor into the total expense calculation.

What is the difference in cost between an initial consultation and a follow-up visit?

Based on negotiated rates in Illinois, initial cardiology consultations with echocardiogram interpretation typically cost more than follow-up visits due to the comprehensive nature of the evaluation. New patient visits involve detailed history-taking, physical examination, and treatment planning, while established patient follow-ups focus on monitoring known conditions and reviewing test results. The actual echocardiogram technical fee remains consistent regardless of visit type, but the professional interpretation and consultation components vary.

Can I use an HSA or FSA to pay for a Echocardiogram visit in Illinois?

Yes, echocardiograms are qualified medical expenses eligible for payment with Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. This includes both the technical component of the imaging study and the cardiologist's professional interpretation fee. Keep all receipts and documentation from your Illinois provider for tax purposes, and remember that HSA funds can be used for qualified medical expenses even if you haven't met your insurance deductible yet.

How does telemedicine affect the cost of seeing a Echocardiogram in Illinois?

While the echocardiogram itself requires in-person imaging, many Illinois cardiologists offer telemedicine consultations to review results and discuss treatment plans, potentially reducing overall costs. Initial consultations can sometimes be conducted virtually if imaging has already been completed, and follow-up visits for stable patients are increasingly offered via telehealth at lower rates than in-person visits. Illinois insurance plans generally cover telehealth cardiology visits at the same rate as in-person consultations, though some may have different copay structures.

Click a state to compare costs

Average Visit Cost

$143
$463

Office visit (CPT 93306)

Compare With Other States

RankStateAverage
1West Virginia
Range: $66$1,167
$463
2Wisconsin
Range: $73$1,020
$423
3Rhode Island
Range: $64$895
$389
4New York
Range: $51$895
$373
5Massachusetts
Range: $77$677
$324
6Minnesota
Range: $77$644
$319
7Georgia
Range: $68$653
$309
8Wyoming
Range: $94$605
$306
9Delaware
Range: $60$677
$303
10Pennsylvania
Range: $61$677
$298
11North Dakota
Range: $75$619
$292
12Connecticut
Range: $64$677
$289
13Nebraska
Range: $101$477
$287
14New Hampshire
Range: $78$519
$282
15District of Columbia
Range: $59$569
$273
16Iowa
Range: $85$477
$269
17Oregon
Range: $79$568
$268
18Washington
Range: $80$513
$260
19California
Range: $79$586
$256
20North Carolina
Range: $68$501
$254
21Missouri
Range: $79$449
$250
22Maine
Range: $95$394
$249
23New Mexico
Range: $80$440
$244
24New Jersey
Range: $60$490
$238
25Vermont
Range: $61$471
$234
26South Dakota
Range: $67$460
$232
27Kentucky
Range: $64$477
$231
28Florida
Range: $60$460
$227
29Colorado
Range: $77$428
$225
30Indiana
Range: $65$436
$224
31Hawaii
Range: $75$438
$222
32Idaho
Range: $78$430
$213
33Michigan
Range: $67$405
$213
34Texas
Range: $64$418
$212
35Illinois
Range: $74$378
$210
36Nevada
Range: $85$321
$208
37Utah
Range: $80$340
$207
38Maryland
Range: $55$399
$205
39Arkansas
Range: $72$369
$201
40Virginia
Range: $59$390
$200
41Mississippi
Range: $57$377
$191
42Tennessee
Range: $64$340
$190
43South Carolina
Range: $62$364
$188
44Kansas
Range: $71$316
$186
45Louisiana
Range: $57$342
$182
46Alabama
Range: $60$329
$179
47Ohio
Range: $52$351
$178
48Oklahoma
Range: $60$356
$177
49Alaska
Range: $80$345
$168
50Arizona
Range: $60$264
$145
51Montana
Range: $80$269
$143
Echocardiogram in Other States