CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Lee County Community Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $853
  • Cash Discount Price: $440
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Lee County Community Hospital is $853. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $440. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.53x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$440

Average discount available for prompt cash payment at this facility.

Insurance Median
$853

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: $440 (79%)
Insurance Median: $853 (153%)
Cash: $440 (79% of Medicare)
Ins. Median: $853 (153% 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 $171 - $1,913 31%
UnitedHealthcare $354 - $1,913 63%
Aetna $421 - $1,913 75%
Ambetter / Centene $421 75%
Amerigroup $421 - $1,913 75%
Managed Medicaire $421 75%
Medicare (plans) $421 75%
Mountain Empire Pace $421 75%
Sentara Health $421 - $494 75%
United Mine Workers Of America $421 75%
Humana $428 77%
Molina Healthcare $438 - $887 78%
Cigna $442 - $1,913 79%
Devoted Health Plan $442 79%
Nhc Advantage $442 79%
Optima Health $853 153%
Seven Corners, Inc. $1,010 181%
First Health Coventry $1,913 343%
Medcost $1,913 343%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals