CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Children's Healthcare of Atlanta at Scottish Rite

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,985
Cash Discount Price: $4,355
vs. Medicare Baseline: 5.35x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Children's Healthcare of Atlanta at Scottish Rite is $2,985. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,355. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.35x the Medicare baseline. Located in 1001 Johnson Ferry Road, Atlanta, GA.

Cash / Self-Pay

$4,355

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,985

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: $4,355 (780%)

Insurance Median: $2,985 (535%)

Cash: $4,355 (780% of Medicare)

Ins. Median: $2,985 (535% 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 535% of the Medicare baseline (a markup of 435%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Peachstate [43]	$1,821	326%
Caresource [61]	$1,870	335%
Amerigroup [102]	$1,889	338%
Cigna	$2,879	516%
Blue Cross Blue Shield	$2,890 - $4,251	518%
United [5]	$2,890	518%
Ambetter / Centene	$2,916	522%
Oscar [228]	$2,918	523%
Aetna	$2,931	525%
Caresource Marketplace Bronze/Silver/Gold [60]	$2,959	530%
Kaiser [6]	$2,965	531%
Sidecar Health [236]	$3,005	538%
Direct Employer Agreements [72]	$3,048 - $3,702	546%
Coventry [9]	$3,056	547%
Northeast Georgia Heatlh System [808]	$3,266	585%
Veracity Benefits [809]	$3,266	585%
First Health [74]	$3,269	586%
Phcs [93]	$3,702	663%
Secure Health [340]	$3,702	663%
Beech Street [71]	$3,920	702%
Multiplan [92]	$4,268	765%
Novanet [41]	$4,355	780%

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 $4,355.
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 Children's Healthcare of Atlanta at Scottish Rite 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.