CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $478
  • Cash Discount Price: $1,173
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Rockcastle County Hospital, Inc. is $478. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,173. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.86x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$1,173

Average discount available for prompt cash payment at this facility.

Insurance Median
$478

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: $1,173 (210%)
Insurance Median: $478 (86%)
Cash: $1,173 (210% of Medicare)
Ins. Median: $478 (86% 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.

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
Passport Hp Hmo - All Plans $123 - $710 22%
UnitedHealthcare $168 - $220 30%
Caresource Mcaid $220 39%
Coventry Mcaid-All Plans $220 39%
Medicaid / KanCare $220 39%
Molina Mcaid $220 39%
Blue Cross Blue Shield $311 - $1,972 56%
Tricare $385 69%
Multiplan-All Plans $388 - $2,235 70%
Prime Health Services-All Plans $388 - $2,235 70%
Integrated Hp-All Plans $407 - $2,340 73%
Corvel - All Plans $411 - $2,366 74%
Center Care-All Plans $434 - $2,498 78%
Cigna $443 - $2,550 79%
Caresource Mcr Adv-All Other Plans $513 92%
Humana $513 92%
Molina Marketplace - All Other Plans $513 92%
Molina Mcr Adv $513 92%
Signature Mcr Adv-All Plans $513 92%
Wellcare Mcr Adv-All Other Plans $513 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals