CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Novant Health Ballantyne Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,318
Cash Discount Price: $1,409
vs. Medicare Baseline: 2.36x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Novant Health Ballantyne Medical Center is $1,318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,409. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.36x the Medicare baseline. Located in 10905 Providence Road W, Charlotte, NC.

Cash / Self-Pay

$1,409

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,318

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: $1,409 (252%)

Insurance Median: $1,318 (236%)

Cash: $1,409 (252% of Medicare)

Ins. Median: $1,318 (236% 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 236% of the Medicare baseline (a markup of 136%). 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 - $1,726	37%
Humana	$531 - $2,107	95%
Pace Of The Southern Piedmont	$531	95%
UnitedHealthcare	$531 - $1,709	95%
Aetna	$544 - $2,341	97%
Cigna	$547 - $1,507	98%
Carolina Complete	$553 - $597	99%
Nc Department Of Public Safety	$553 - $1,062	99%
Liberty Health	$558	100%
Amerihealth	$564 - $609	101%
Wellcare	$564 - $609	101%
Caresource North Carolina	$894 - $966	160%
Atlantic Corporation Dba Atlantic Packaging	$1,247 - $1,346	223%
Amps	$1,490 - $1,609	267%
Plotkin Health	$1,626 - $1,756	291%
Medcost	$1,924 - $2,194	345%
Primary Physician Care	$2,005 - $2,165	359%
Multiplan	$2,032 - $2,194	364%
Phcs	$2,032 - $2,194	364%
Employers Choice Network	$2,629 - $2,838	471%
Three Rivers Provider Network	$2,629 - $2,838	471%

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 $1,409.
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 Ballantyne 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.