CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $400
Cash Discount Price: $2,260
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Atrium Health Navicent the Medical Center is $400. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,260. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.72x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.

Cash / Self-Pay

$2,260

Average discount available for prompt cash payment at this facility.

Insurance Median

$400

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: $2,260 (405%)

Insurance Median: $400 (72%)

Cash: $2,260 (405% of Medicare)

Ins. Median: $400 (72% 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.

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
Aetna	$64 - $3,118	11%
Blue Cross Blue Shield	$64 - $2,153	11%
Georgia Health Advantage	$64 - $534	11%
Humana	$64 - $3,105	11%
UnitedHealthcare	$64 - $534	11%
Care Source	$65 - $545	12%
Clover	$65 - $545	12%
Eon Health	$65 - $545	12%
Pruitt Health	$67 - $534	12%
Alliant	$76 - $1,988	14%
Ambetter / Centene	$86 - $2,305	15%
Kaiser	$177 - $2,937	32%
Cigna	$277 - $2,974	50%
Securehealth	$1,582	283%
Multiplan	$2,937 - $3,615	526%
Ibg	$3,195	572%
Novanet	$3,615	648%
Three Rivers Provider Network	$3,841	688%
Beechstreet	$4,203	753%

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 $2,260.
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 Atrium Health Navicent the Medical Center 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.