CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Fairfield Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,369
Cash Discount Price: $886
vs. Medicare Baseline: 2.45x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Fairfield Medical Center is $1,369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $886. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.45x the Medicare baseline. Located in 401 North Ewing Street, Lancaster, OH.

Cash / Self-Pay

$886

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,369

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: $886 (159%)

Insurance Median: $1,369 (245%)

Cash: $886 (159% of Medicare)

Ins. Median: $1,369 (245% 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 245% of the Medicare baseline (a markup of 145%). 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
Medicaid / KanCare	$327	59%
Molina	$327 - $10,132	59%
UnitedHealthcare	$327 - $6,141	59%
Caresource	$331 - $7,983	59%
Blue Cross Blue Shield	$337 - $26,250	60%
Humana	$341 - $6,020	61%
Amerihealth Caritas Ohio	$344	62%
Buckeye Community Health	$344 - $9,518	62%
Aetna	$518 - $6,020	93%
Medical Mutual	$518 - $33,500	93%
Medicare (plans)	$518 - $6,020	93%
Medigold	$527 - $6,141	94%
Va Ccn	$527 - $6,141	94%
The Health Plan	$529 - $6,141	95%
Valor Health Plan	$529 - $6,141	95%
Bwc	$732 - $8,530	131%
Oscar	$975 - $6,589	175%
Allied Benefit Systems	$1,368 - $1,369	245%
Meritain Health	$1,368 - $1,369	245%
Quality Care Partners/Ohio Ppo Connect	$1,418	254%
The Ohio State Health Plan	$1,516 - $1,517	272%
Cigna	$1,622 - $1,623	291%
Ohio Healthy	$1,851 - $1,852	332%
Multiplan	$1,871 - $1,872	335%
Miscellaneous Plans	$1,969 - $1,970	353%

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 $886.
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 Fairfield Medical Center 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.