CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Lexington Memorial Hospital Inc

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,000
Cash Discount Price: $2,266
vs. Medicare Baseline: 3.58x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Lexington Memorial Hospital Inc is $2,000. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,266. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.58x the Medicare baseline. Located in 250 Hospital Drive Po Box 1817, Lexington, NC.

Cash / Self-Pay

$2,266

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,000

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: $2,266 (406%)

Insurance Median: $2,000 (358%)

Cash: $2,266 (406% of Medicare)

Ins. Median: $2,000 (358% 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 358% of the Medicare baseline (a markup of 258%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Amerihealth	$854 - $1,245	153%
Carolina Complete	$854	153%
Healthy Blue	$854	153%
Partners	$854	153%
UnitedHealthcare	$862 - $2,030	154%
Vaya	$862	154%
Wellcare	$862	154%
Alliance	$871	156%
Trillium	$879	157%
Medcost	$992 - $3,031	178%
Blue Cross Blue Shield	$1,010 - $1,624	181%
Aetna	$1,287 - $4,187	231%
Ambetter / Centene	$1,300	233%
Oscar	$1,450 - $1,994	260%
Cigna	$1,971 - $2,007	353%
Directnet	$2,678	480%
Healthgram Lexington Home Brands	$3,262	584%
Healthgram	$3,625	649%
Private Healthcare Systems	$3,715	665%
Beechstreet	$3,987	714%
Humana	$3,987	714%
Multiplan	$4,078	730%
National Provider Network	$4,078	730%

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 $2,266.
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 Lexington Memorial Hospital Inc 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.