CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Lonesome Pine Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $618
Cash Discount Price: $448
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Lonesome Pine Hospital is $618. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $448. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.11x the Medicare baseline. Located in 1990 Holton Avenue East, Big Stone Gap, VA.

Cash / Self-Pay

$448

Average discount available for prompt cash payment at this facility.

Insurance Median

$618

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: $448 (80%)

Insurance Median: $618 (111%)

Cash: $448 (80% of Medicare)

Ins. Median: $618 (111% 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
Blue Cross Blue Shield	$171 - $2,989	31%
UnitedHealthcare	$196 - $2,989	35%
Aetna	$533 - $1,276	95%
Amerigroup	$533	95%
Humana	$533	95%
Managed Medicaire	$533	95%
Medicare (plans)	$533	95%
Sentara Health	$533 - $757	95%
United Mine Workers Of America	$533	95%
Cigna	$560 - $1,387	100%
Devoted Health Plan	$560	100%
Molina Healthcare	$560 - $627	100%
Mountain Empire Pace	$560	100%
Nhc Advantage	$560	100%
Wellcare	$565	101%
Optima Health	$616	110%
Ambetter / Centene	$1,162	208%
Seven Corners, Inc.	$1,280	229%
Medcost	$1,422	255%
First Health Coventry	$2,690	482%

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 $448.
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 Lonesome Pine Hospital 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.