CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Lodi Community Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,526
Cash Discount Price: $1,845
vs. Medicare Baseline: 2.73x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Lodi Community Hospital is $1,526. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,845. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.73x the Medicare baseline. Located in 225 Elyria Street, Lodi, OH.

Cash / Self-Pay

$1,845

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,526

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: $1,845 (330%)

Insurance Median: $1,526 (273%)

Cash: $1,845 (330% of Medicare)

Ins. Median: $1,526 (273% 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 273% of the Medicare baseline (a markup of 173%). 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
UnitedHealthcare	$412 - $1,760	74%
Buckeye	$434	78%
Caresource	$434	78%
Blue Cross Blue Shield	$456 - $2,323	82%
Molina	$456	82%
United	$456 - $2,027	82%
Amerihealth	$478	86%
Humana	$852	153%
Mmo	$852 - $1,519	153%
Summacare	$852 - $1,740	153%
Oscar	$855 - $1,092	153%
Aetna	$965 - $2,839	173%
The Health Plan	$1,136 - $2,271	203%
Amish Community Aid Plan	$1,278 - $1,420	229%
Ohcp	$1,380	247%
Aultcare	$1,420	254%
Omas	$1,420	254%
Ohio Healthy	$1,533	275%
Php	$1,703	305%
Phphi	$1,703	305%
Upmc	$1,703	305%
Cigna	$1,831	328%
Cc Ehp	$1,908	342%
Gms	$1,987	356%
Medical Benefit Corp	$1,987	356%
Consociate Health	$2,129	381%
Frontpath	$2,555	458%
Managed Care Services	$2,555	458%
Multiplan	$2,555	458%
Tertiary Care Network	$2,555	458%

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 $1,845.
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 Lodi Community Hospital 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.