CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: John Randolph Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,940
Cash Discount Price: $8,401
vs. Medicare Baseline: 5.27x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at John Randolph Medical Center is $2,940. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,401. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.27x the Medicare baseline. Located in 411 West Randolph Road, Hopewell, VA.

Cash / Self-Pay

$8,401

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,940

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: $8,401 (1505%)

Insurance Median: $2,940 (527%)

Cash: $8,401 (1505% of Medicare)

Ins. Median: $2,940 (527% 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 527% of the Medicare baseline (a markup of 427%). 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
Cigna	$1,201 - $1,764	215%
Oscar	$1,428	256%
Lifeworks	$1,596	286%
United	$1,747 - $3,780	313%
Universal Healthcare Group	$1,848	331%
Aetna	$2,772	497%
Virginia Health Network	$2,940 - $5,461	527%
Value Options	$5,041	903%
Corvel	$6,049	1084%
Occunet Workers Comp	$6,721	1204%
4Most Health Nework	$7,561	1354%
Multiplan	$7,561	1354%

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 $8,401.
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 John Randolph 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.