CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Atrium Health Pineville

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $472
Cash Discount Price: $1,780
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Atrium Health Pineville is $472. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,780. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.85x the Medicare baseline. Located in 10628 Park Rd, Charlotte, NC.

Cash / Self-Pay

$1,780

Average discount available for prompt cash payment at this facility.

Insurance Median

$472

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: $1,780 (319%)

Insurance Median: $472 (85%)

Cash: $1,780 (319% of Medicare)

Ins. Median: $472 (85% 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
Trillium	$58 - $379	10%
Alliance	$59 - $377	11%
Amerihealth Caritas	$59 - $361	11%
Carolina Complete Health	$59 - $368	11%
Healthy Blue	$59 - $368	11%
Partners	$59 - $356	11%
UnitedHealthcare	$59 - $1,677	11%
Vaya	$59 - $372	11%
Wellcare	$59 - $368	11%
Cigna	$64 - $2,403	11%
Humana	$65 - $532	12%
Aetna	$66 - $2,955	12%
Ortho Carolina	$80 - $652	14%
Blue Cross Blue Shield	$136 - $1,384	24%
Choicecare	$144 - $2,634	26%
Medcost	$188 - $2,129	34%
Ambetter / Centene	$1,034 - $1,292	185%
Employers Health Network	$1,574	282%
Physician Reach Out	$1,780	319%
Magellan	$2,136	383%
Gmmi	$2,314	415%
Quik Trip	$2,314	415%
Healthgram	$2,848	510%
Provider Select	$2,884 - $3,204	517%
Private Health Care Systems	$2,919	523%
First Health	$2,955	529%
Beechstreet	$3,204	574%
Multiplan	$3,275	587%

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 $1,780.
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 Pineville 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.