CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Northside Hospital Cherokee

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $2,754
  • Cash Discount Price: $3,332
  • vs. Medicare Baseline: 4.93x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Northside Hospital Cherokee is $2,754. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,332. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.93x the Medicare baseline. Located in 450 Northside Cherokee Boulevard, Canton, GA.
Cash / Self-Pay
$3,332

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,754

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: $3,332 (597%)
Insurance Median: $2,754 (493%)
Cash: $3,332 (597% of Medicare)
Ins. Median: $2,754 (493% 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 493% of the Medicare baseline (a markup of 393%). 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
Champus Va $122 22%
Mti $204 37%
One Call Diagnostics $204 37%
Homelink $217 39%
Ambetter / Centene $496 - $2,088 89%
Amerigroup $496 - $659 89%
Medicaid / KanCare $496 - $571 89%
Truths Community $497 89%
Caresource $511 - $1,652 92%
Blue Cross Blue Shield $546 - $3,096 98%
Clear Springs Eon Health $546 98%
Medicare (plans) $546 - $666 98%
UnitedHealthcare $546 - $3,140 98%
Va Ccn $546 98%
Humana $552 - $568 99%
Bccp $555 99%
Cbww $555 99%
Tricare $555 99%
Aetna $557 - $3,021 100%
Coventry $557 - $3,021 100%
Kaiser $562 - $3,865 101%
Wellcare $562 101%
Clover Health $573 103%
Pruitt Health Premier $573 103%
Fairly Group $628 112%
Cigna $665 - $2,798 119%
Us Dept Of Labor Wc $694 124%
Genex/Priority Care Solutions $1,149 206%
Spreemo $1,149 206%
Authentic 4D $1,293 232%
Streamline Imaging $1,293 232%
Corvel Workers Comp $1,364 244%
Employers Choice Network $1,364 244%
Fieldale Farms Wc $1,436 257%
Georgia Workers Compensation $1,436 257%
Georgia Reproductive Specialists $1,777 318%
Medlien Healthcare Services $1,777 318%
Med Care Solutions $1,999 358%
Oscar $2,088 374%
Health One Alliance_Ppo $2,443 438%
Quick Trip $2,443 438%
Northside Health Network $2,754 493%
Novanet_Ppo $3,109 557%
Phcs $3,332 597%
Beech Steet $3,776 676%
Multiplan $3,776 676%
Multiplan Workers Comp $3,776 676%
Careiq $4,442 796%
Cherokee County Board Of Health $4,442 796%
Dekalb_Department Of Health $4,442 796%
Fifa $4,442 796%
Institutional Marietta Surgery Center $4,442 796%
Institutional Veterans Evaluation Services $4,442 796%
Rabun County Boc $4,442 796%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Northside Cherokee Boulevard, Canton, GA 30115
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals