CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Pender Memorial Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $354
Cash Discount Price: $555
vs. Medicare Baseline: 0.63x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Pender Memorial Hospital is $354. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $555. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.63x the Medicare baseline. Located in 507 E Fremont St, Burgaw, NC.

Cash / Self-Pay

$555

Average discount available for prompt cash payment at this facility.

Insurance Median

$354

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: $555 (99%)

Insurance Median: $354 (63%)

Cash: $555 (99% of Medicare)

Ins. Median: $354 (63% 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
Blue Cross Blue Shield	$207 - $455	37%
Humana	$317 - $1,061	57%
Pace Of The Southern Piedmont	$333	60%
New Hanover Health	$340	61%
Aetna	$342 - $1,049	61%
Cigna	$343 - $544	61%
Carolina Complete	$347	62%
Nc Department Of Public Safety	$347 - $666	62%
Amerihealth	$354	63%
Wellcare	$354	63%
Ambetter / Centene	$466	83%
Liberty Health	$473	85%
Caresource North Carolina	$494	88%
Plotkin Health	$740	133%
UnitedHealthcare	$901	161%
Medcost	$929 - $1,035	166%
Employers Choice Network	$1,197	214%
Three Rivers Provider Network	$1,197	214%

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 $555.
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 Pender Memorial 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.