CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Vandalia Health Broaddus Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $1,376
  • Cash Discount Price: $1,315
  • vs. Medicare Baseline: 2.46x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Vandalia Health Broaddus Hospital is $1,376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,315. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.46x the Medicare baseline. Located in 1 Healthcare Drive Mansfield Hill, Philippi, WV.
Cash / Self-Pay
$1,315

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,376

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: $1,315 (236%)
Insurance Median: $1,376 (246%)
Cash: $1,315 (236% of Medicare)
Ins. Median: $1,376 (246% 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 246% of the Medicare baseline (a markup of 146%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Correctional Medical Systems $48 - $131 9%
Aetna $51 - $1,679 9%
The Health Plan $51 - $1,690 9%
Unicare $51 - $137 9%
Blue Cross Blue Shield $89 - $1,332 16%
Peak Health $324 - $598 58%
Highmark $1,376 246%
UnitedHealthcare $1,390 - $1,824 249%
Humana $1,445 259%
West Virginia Senior Advantage $1,459 261%
Cigna $1,643 294%
First Health $1,679 301%
Geisenger Health Plan $1,747 313%
Health Network America $1,747 - $1,784 313%
Multiplan/Phcs $1,765 316%
Geha $1,784 320%
Selectnet $1,840 330%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Healthcare Drive Mansfield Hill, Philippi, WV 26416
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals