CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Adena Pike Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,048
Cash Discount Price: $2,105
vs. Medicare Baseline: 5.46x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Adena Pike Medical Center is $3,048. 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 5.46x the Medicare baseline. Located in 100 Dawn Lane, Waverly, OH.

Cash / Self-Pay

$2,105

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,048

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: $3,048 (546%)

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

Ins. Median: $3,048 (546% 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 546% of the Medicare baseline (a markup of 446%). 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
Aetna	$874 - $3,890	157%
Blue Cross Blue Shield	$874 - $4,124	157%
Buckeye Community Health Plan	$874 - $1,147	157%
Humana	$874 - $4,540	157%
Medical Mutual Of Ohio	$874 - $3,037	157%
Medigold	$874 - $1,147	157%
Molina	$874 - $1,147	157%
Care Source	$891 - $1,170	160%
Gateway Health	$1,202 - $1,577	215%
Molina Marketplace	$1,433 - $1,881	257%
Care Source Just4Me	$1,573 - $2,064	282%
Sidecar Health	$2,403 - $3,154	430%
Ohio Ppo Connect	$2,549 - $3,345	457%
The Health Plan	$2,549 - $3,345	457%
Cigna	$2,636 - $3,460	472%
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%
UnitedHealthcare	$3,131 - $4,110	561%
Integrated Health Plan	$3,423 - $4,492	613%
Healthsmart	$3,459 - $4,540	620%
Multiplan/Private Healthcare Systems	$3,459 - $4,540	620%
Three Rivers Network	$3,459 - $4,540	620%

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 Pike 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.