CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Lancaster General Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $3,200
  • Cash Discount Price: $3,915
  • vs. Medicare Baseline: 5.73x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Lancaster General Hospital is $3,200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,915. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.73x the Medicare baseline. Located in 555 North Duke Street, Lancaster, PA.
Cash / Self-Pay
$3,915

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,200

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: $3,915 (701%)
Insurance Median: $3,200 (573%)
Cash: $3,915 (701% of Medicare)
Ins. Median: $3,200 (573% 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 573% of the Medicare baseline (a markup of 473%). 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.

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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 $98 - $1,250 18%
UnitedHealthcare $108 - $3,627 19%
Upmc For You $240 43%
Gateway $283 51%
Tricare $500 90%
Highmark $550 - $4,267 99%
Albright Life $555 99%
Coatesville Va $555 99%
Hospice Generic $555 99%
Lebanon Veterans Hospital $555 99%
Medicare (plans) $555 - $614 99%
Aetna $561 - $2,889 100%
Blue Cross Blue Shield $563 - $5,261 101%
Amerihealth Caritas $566 101%
Cigna $572 - $3,570 102%
Health Partners Mcr Advantage $572 102%
Devoted Health $583 104%
Pa Health And Wellness Mcr $583 104%
Hospice And Community Care $715 - $811 128%
Elap Employees $788 141%
Old Order Group $1,017 - $1,365 182%
Lg Coresource/Lg Eliance $1,073 - $1,216 192%
Oscar Health Plan $1,082 194%
Lancashire Hall $1,130 - $4,267 202%
Nursing Home Op Services $1,130 - $1,280 202%
Affilia Home Health $1,506 - $4,267 270%
Masonic Homes $1,581 - $4,267 283%
Claim Watcher Plus $1,665 298%
Claim Watcher $1,832 328%
Elap Other Groups $2,021 362%
Eliance Health Solutions $2,410 - $2,731 432%
Highmark Commercial Preferred $2,519 - $4,267 451%
Ehp $3,087 - $3,499 553%
Upmc Commercial $3,087 - $3,627 553%
Devon $3,200 - $3,627 573%
Geisinger Commercial $3,200 - $3,627 573%
Intergroup Services $3,200 - $3,627 573%
Preferred Healthcare $3,200 - $3,627 573%
Medi-Share Christian Care $3,577 - $4,054 641%
Commercial Generic $3,765 - $4,267 674%
Highmark Commercial Non-Preferred $3,765 - $4,302 674%
Magellan $3,765 - $4,267 674%
United Behavioral Health $3,765 - $4,267 674%
Value Options $3,765 - $4,267 674%
Workers Compensation $3,765 - $4,267 674%
Gift Of Life Donor Program $13,500 2418%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals