CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Lafollette Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $549
  • Cash Discount Price: $1,668
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Lafollette Medical Center is $549. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,668. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.98x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$1,668

Average discount available for prompt cash payment at this facility.

Insurance Median
$549

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: $1,668 (299%)
Insurance Median: $549 (98%)
Cash: $1,668 (299% of Medicare)
Ins. Median: $549 (98% 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.

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
Blue Cross Blue Shield $158 - $968 28%
Bluecare $161 - $182 29%
Medicaid / KanCare $180 - $1,390 32%
UnitedHealthcare $180 - $5,561 32%
Amerigroup $378 68%
Tricare $484 87%
Veterans Eval Services $490 88%
Node Champva $510 91%
Triwest $520 93%
Humana $522 - $1,223 94%
Medicare (plans) $522 94%
Node Bluecare Plus Tn Mcr Adv $522 94%
Node Hospice Non Par Agree $531 95%
Node Va $531 95%
Node Wellcare Mcr Adv $531 95%
Node Devoted Health Mcr Adv $533 95%
Node Farm Bureau Mcr Adv $533 95%
Aetna $538 - $3,459 96%
Node Blueadvantage Mcr Adv $538 96%
Node Healthspring Mcr Adv $538 96%
Node Amerigroup Mcr Adv $549 98%
Windsor Health Plan $549 98%
Node Nhc Mcr Adv $575 103%
Node Us Dept Of Labor $664 119%
Cigna $719 129%
Novanet Work Comp Tn $814 146%
Tn Work Comp $822 147%
Ambetter / Centene $982 176%
Node Point Comfort Underwriters $1,168 209%
Wellcare $1,390 249%
Self Pay $1,597 286%
Multiplan Complementary $4,226 757%
Beech Street Work Comp Tn $82,901 14850%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals