CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Licking Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $1,877
  • Cash Discount Price: $2,607
  • vs. Medicare Baseline: 3.36x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Licking Memorial Hospital is $1,877. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,607. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.36x the Medicare baseline. Located in 1320 West Main Street, Newark, OH.
Cash / Self-Pay
$2,607

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,877

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: $2,607 (467%)
Insurance Median: $1,877 (336%)
Cash: $2,607 (467% of Medicare)
Ins. Median: $1,877 (336% 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 336% of the Medicare baseline (a markup of 236%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Tricare $516 - $741 92%
Aetna $527 - $2,153 94%
Blue Cross Blue Shield $527 - $2,239 94%
Champva [500001] $527 - $756 94%
Cigna $527 - $2,346 94%
Humana $527 - $2,528 94%
Medicare (plans) $527 - $756 94%
UnitedHealthcare $527 - $2,216 94%
Veterans Administration [100068] $527 - $756 94%
Wellcare By Allwell [450104] $527 - $756 94%
Molina Marketplace [100106] $843 - $1,209 151%
Medical Mutual [100114] $1,434 - $2,163 257%
Medben [700068] $1,825 - $2,554 327%
Benicomp [70090] $1,955 350%
Consociate Health 6 Degrees [100059] $2,085 373%
Consociate Health [100029] $2,085 373%
Allied Benefit Systems [100015] $2,132 382%
Geha [100039] $2,132 382%
Gravie Administrative Services [100165] $2,132 382%
Meritain [100063] $2,132 382%
Optima [700069] $2,132 382%
Trustmark Small Business Benefits [100263] $2,132 382%
Webtpa [100127] $2,132 382%
Healthscope [100157] $2,216 397%
Surest [100016] $2,216 397%
United Medical Resources [700071] $2,216 397%
American Postal Workers [100089] $2,346 420%
Antidote Health Plan Of Ohio [70006803] $2,346 420%
Coresource [100002] $2,346 - $2,606 420%
Great West Life [700064] $2,346 420%
National Association Of Letter Carriers [100067] $2,346 420%
Ohio Healthy Luminare Health [100264] $2,346 420%
Ohio Healthy [100255] $2,346 420%
Ohio Ppo Connect [70006801] $2,346 420%
Osu Prime Care [100254] $2,346 420%
Quality Care Partners [70006802] $2,346 420%
The Health Plan [100261] $2,346 420%
Wellfleet Group, Llc [100164] $2,346 420%
Coventry [100010] $2,406 431%
Pan American Life [700070] $2,406 431%
Ohio Health Choice [100109] $2,502 448%
Administrative Concepts [100006] $2,528 453%
Carefactor [100087] $2,528 453%
Philadelphia American Life [100260] $2,528 - $2,606 453%
Reliance Standard-Asrm [100258] $2,528 453%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 West Main Street, Newark, OH 43055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals