CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: North Carolina Baptist Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,374
Cash Discount Price: $2,166
vs. Medicare Baseline: 2.46x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at North Carolina Baptist Hospital is $1,374. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,166. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.46x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.

Cash / Self-Pay

$2,166

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,374

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: $2,166 (388%)

Insurance Median: $1,374 (246%)

Cash: $2,166 (388% of Medicare)

Ins. Median: $1,374 (246% 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 246% of the Medicare baseline (a markup of 146%). 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
Aetna	$531 - $3,781	95%
Apex	$531	95%
Blue Cross Blue Shield	$531 - $1,243	95%
Cigna	$531 - $2,669	95%
Devoted	$531	95%
Healthteam	$531	95%
UnitedHealthcare	$531 - $1,535	95%
Wellcare	$531 - $1,018	95%
Humana	$536 - $2,433	96%
Medicare (plans)	$536	96%
Liberty	$610	109%
Medcost	$835 - $2,958	150%
Amerihealth	$953 - $1,199	171%
Carolina Complete	$953 - $1,005	171%
Health Blue	$953 - $1,005	171%
Partners	$953 - $1,005	171%
Vaya	$963 - $1,015	173%
Alliance	$972 - $1,025	174%
Trillium	$981 - $1,035	176%
Ambetter / Centene	$1,138 - $1,201	204%
Oscar	$1,265 - $1,601	227%
Directnet	$2,492 - $2,629	446%
Cone Health	$2,951 - $3,114	529%
Healthgram	$2,951 - $3,114	529%
First Carolina Care	$3,373 - $3,558	604%
Private Healthcare Systems	$3,457 - $3,647	619%
Multiplan	$3,794 - $4,003	680%

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 $2,166.
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 North Carolina Baptist Hospital 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.