CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Adena Fayette Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,744
Cash Discount Price: $2,105
vs. Medicare Baseline: 4.92x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Adena Fayette Medical Center is $2,744. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,105. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.92x the Medicare baseline. Located in 1430 Columbus Avenue, Washington Ch, OH.

Cash / Self-Pay

$2,105

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,744

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: $2,105 (377%)

Insurance Median: $2,744 (492%)

Cash: $2,105 (377% of Medicare)

Ins. Median: $2,744 (492% 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 492% of the Medicare baseline (a markup of 392%). 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
Blue Cross Blue Shield	$1,238 - $3,168	222%
Aetna	$1,493 - $3,785	267%
Buckeye Community Health Plan	$1,493 - $1,959	267%
Humana	$1,493 - $1,959	267%
Medical Mutual Of Ohio	$1,493 - $3,601	267%
Medigold	$1,493 - $1,959	267%
Molina	$1,493 - $1,959	267%
Care Source	$1,523 - $1,998	273%
Molina Marketplace	$1,642 - $2,155	294%
United Medical Resources Ohcp	$2,290 - $3,006	410%
UnitedHealthcare	$2,290 - $3,034	410%
Cigna	$2,509 - $3,292	449%
Ohio Ppo Connect	$2,549 - $3,345	457%
The Health Plan	$2,549 - $3,345	457%
Care Source Just4Me	$2,687 - $3,527	481%
Medical Mutual Of Ohio Supermed	$2,744 - $3,601	492%
First Health	$2,855 - $3,746	511%
Ohio Health Choice	$2,898 - $3,804	519%
Multiplan/Private Healthcare Systems	$3,459 - $4,540	620%
Sidecar Health	$4,114 - $5,400	737%

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 $2,105.
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 Adena Fayette 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.