CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Uva Health Culpeper Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $776
Cash Discount Price: $2,170
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Uva Health Culpeper Medical Center is $776. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,170. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.39x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$2,170

Average discount available for prompt cash payment at this facility.

Insurance Median

$776

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: $2,170 (389%)

Insurance Median: $776 (139%)

Cash: $2,170 (389% of Medicare)

Ins. Median: $776 (139% 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.

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
Champva [50002]	$128 - $130	23%
Tricare	$128 - $130	23%
Blue Ridge Pace [10510]	$493	88%
Medicaid / KanCare	$493	88%
Aetna	$548 - $3,818	98%
Blue Cross Blue Shield	$548 - $1,637	98%
Cigna	$548 - $2,898	98%
HMO Part B [10099]	$548	98%
Humana	$548 - $577	98%
Medicare (plans)	$548 - $565	98%
UnitedHealthcare	$548 - $3,120	98%
VA Ccn [99926]	$548 - $565	98%
VA Ccn [99927]	$548 - $565	98%
Veterans Administration [99910]	$565	101%
Sentara [40021]	$618 - $3,371	111%
Carefirst [30007]	$621 - $776	111%
Sentara Behavioral Health [40052]	$631 - $3,371	113%
Geha [40009]	$1,347 - $2,521	241%
Beacon Health Options [40012]	$2,170	389%
Commercial Contracted Hb Only [40056]	$2,278	408%
Commercial Generic [40000]	$2,278 - $3,037	408%
Commercial Contracted Tpa [40055]	$2,603 - $3,037	466%
Umwa [40037]	$3,037	544%
Healthsmart [40013]	$3,254	583%
Multiplan Generic [40035]	$3,298 - $3,688	591%
Vhn Generic [40040]	$3,298 - $3,688	591%
First Health Generic [40033]	$3,558	637%
Gateway Health Alliance [40034]	$3,688	661%
Onenet Workers Comp Generic [60010]	$3,801	681%
Kaiser Permenente [40014]	$3,905	700%

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 $2,170.
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 Uva Health Culpeper 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.