CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Carilion Tazewell Community Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,543
Cash Discount Price: $982
vs. Medicare Baseline: 2.76x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Carilion Tazewell Community Hospital is $1,543. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $982. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.76x the Medicare baseline. Located in 388 Ben Bolt Avenue, Tazewell, VA.

Cash / Self-Pay

$982

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,543

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: $982 (176%)

Insurance Median: $1,543 (276%)

Cash: $982 (176% of Medicare)

Ins. Median: $1,543 (276% 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 276% of the Medicare baseline (a markup of 176%). 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
Corvel	$158	28%
Blue Cross Blue Shield	$175 - $2,885	31%
Sentara Health Plan	$178 - $1,740	32%
Abh Of Va (Formerly Coventry)	$183	33%
Abh Of Wva (Formerly Coventry)	$183	33%
Humana	$183 - $521	33%
UnitedHealthcare	$183 - $2,294	33%
Aetna	$480 - $1,863	86%
Allcare	$510	91%
Gateway - Tier 3	$1,543	276%
Vhn - Ultra	$1,740	312%
Cigna	$1,782 - $1,900	319%
Connecticare	$1,964	352%
Vhn - Plus	$2,161	387%
Gateway - Tier 2	$2,245	402%
Vhn	$2,245	402%
Integrated Health Plan	$2,385	427%
Vhn - Link	$2,525	452%
Gateway - Tier 1	$2,666	478%
Vhn - Secondary Payors	$2,666	478%
National Provider Network	$2,694	483%

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 $982.
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 Carilion Tazewell Community 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.