CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Northside Hospital Forsyth

Billing Code: 93306 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$820

about 1.5× the $558 Medicare rate · typically $393–$1,152

modeled estimate · not a bill or quote

What this hospital charges insurers

$988

Above the fair price

about $168 over the fair price · 1.8× Medicare

Medicare pays $558 Fair price $820 This hospital $988 Cash price $3,332 Hospital's list price $4,442

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $122 Priciest $988

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Echocardiogram (heart ultrasound) is about $820 (about 1.5× the $558 Medicare rate). Northside Hospital Forsyth charges insurers about $988, or about $3,332 in cash — above the fair price. Located in Cumming, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $820. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$546 - $3,140	98%
Blue Cross Blue Shieldmajor	$546 - $3,096	98%
Aetnamajor	$557 - $3,021	100%
Cignamajor	$638 - $2,798	114%
Humanamajor	$552 - $568	99%
Kaiser Permanentemajor	$562 - $3,865	101%
Ambetter (Centene)	$535 - $2,088	96%
Amerigroup	$535 - $632	96%
CareSource	$551 - $1,652	99%
Clover Health	$573	103%
Health Net	$2,754	493%
Oscar Health	$2,088	374%
WellCare	$562	101%
+ 23 smaller / regional plans	$122 - $4,442

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,332), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93306.

Insurance Before you use insurance

Call your insurance company to confirm Northside Hospital Forsyth is in-network.
Ask your insurer whether prior approval is required for CPT code 93306.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Northside Hospital Forsyth

Compare: Echocardiogram (heart ultrasound) at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.