CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Holmes County Hospital and Clinics

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $938
Cash Discount Price: $500
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Holmes County Hospital and Clinics is $938. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.68x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.

Cash / Self-Pay

$500

Average discount available for prompt cash payment at this facility.

Insurance Median

$938

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: $500 (90%)

Insurance Median: $938 (168%)

Cash: $500 (90% of Medicare)

Ins. Median: $938 (168% 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
Ms-Can-Molina-Lex	$430	77%
Ms-Can-Magnolia-Lex	$435	78%
Ms-Can-Truecare-Lex	$439	79%
Cigna	$725	130%
Tricare	$767	137%
Humana	$780	140%
Mpcn-Lex	$812	145%
Medadv_Uhc-Lex	$850	152%
Firstchoice-Lex	$875	157%
Molina-Chip-Lex	$919	165%
United-Lex	$932	167%
Ambetter / Centene	$938	168%
Medadv_Primewell-Lex	$938	168%
Medicare (plans)	$938	168%
Primewell-Lex	$938	168%
Va_Ccn-Lex	$938	168%
United-Options-Lex	$939	168%
Magnolia-Chip-Lex	$940	168%
Truecare-Chip-Lex	$940	168%
Medadv_Uhcdsnp-Lex	$966	173%
Wellcare-Lex	$966	173%
Advhealth-Lex	$967	173%
Ppoplus	$975	175%
Devoted_Health-Lex	$984	176%
Firsthealth-Lex	$1,000	179%
Multiplan-Lex	$1,000	179%
Aetna	$1,062	190%
Phcs-Lex	$1,125	202%
Blue Cross Blue Shield	$1,250	224%
Molina_Exchange-Lex	$1,250	224%

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 $500.
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 Holmes County Hospital and Clinics 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.