CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Novant Health Forsyth Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,360
Cash Discount Price: $1,331
vs. Medicare Baseline: 2.44x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Novant Health Forsyth Medical Center is $1,360. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,331. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.44x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$1,331

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,360

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: $1,331 (238%)

Insurance Median: $1,360 (244%)

Cash: $1,331 (238% of Medicare)

Ins. Median: $1,360 (244% 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 244% of the Medicare baseline (a markup of 144%). 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
Blue Cross Blue Shield	$207 - $1,790	37%
Carolina Complete	$365 - $484	65%
Nc Department Of Public Safety	$365 - $1,060	65%
Amerihealth	$372 - $494	67%
UnitedHealthcare	$372 - $1,754	67%
Wellcare	$372 - $494	67%
Humana	$530 - $2,030	95%
Pace Of The Southern Piedmont	$530	95%
Aetna	$543 - $2,085	97%
Cigna	$546 - $1,548	98%
Liberty Health	$556	100%
Caresource North Carolina	$785 - $1,042	141%
Atlantic Corporation Dba Atlantic Packaging	$1,109 - $1,472	199%
Plotkin Health	$1,178 - $1,564	211%
Amps	$1,276 - $1,694	229%
Medcost	$1,669 - $2,450	299%
Primary Physician Care	$1,727 - $2,293	309%
Beechstreet	$1,767 - $2,345	317%
Multiplan	$1,767 - $2,345	317%
Phcs	$1,767 - $2,345	317%
Employers Choice Network	$1,904 - $2,528	341%
Three Rivers Provider Network	$1,904 - $2,528	341%

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 $1,331.
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 Novant Health Forsyth 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.