CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: Prisma Health Hillcrest Hospital
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $552
- Cash Discount Price: $1,832
- vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Prisma Health Hillcrest Hospital is $552. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,832. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.99x the Medicare baseline. Located in 741 South East Main Street, Simpsonville, SC.
Cash / Self-Pay
$1,832
Average discount available for prompt cash payment at this facility.
Insurance Median
$552
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: $1,832 (328%)
Insurance Median: $552 (99%)
Cash: $1,832 (328% of Medicare)
Ins. Median: $552 (99% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| First Choice Benefits Mgmt [3074] | $310 | 56% |
| Medicaid / KanCare | $310 - $434 | 56% |
| Medicare (plans) | $310 - $573 | 56% |
| Humana | $332 - $534 | 59% |
| UnitedHealthcare | $434 - $2,650 | 78% |
| Tricare | $510 | 91% |
| Blue Cross Blue Shield | $521 - $2,255 | 93% |
| Champva [3049] | $521 | 93% |
| Cigna | $521 - $1,956 | 93% |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | $521 | 93% |
| Deseret Mutual Ins Co [3066] | $521 | 93% |
| Generic Skilled Nursing [3196] | $521 | 93% |
| Hospice Contracted [1500] | $521 | 93% |
| Hospice Non Contracted [3190] | $521 | 93% |
| Triwest Healthcare Alliance Vcp [902] | $521 | 93% |
| Va Community Care Network-Vaccn [903] | $521 | 93% |
| Veterans Administration [3194] | $521 | 93% |
| Aetna | $547 - $2,227 | 98% |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | $547 | 98% |
| Healthy Conn Prime-First Choice Vip Care [5300] | $552 | 99% |
| Healthy Conn Prime-Molina Healthcare [5330] | $573 | 103% |
| Prisma Health Seniorcare Pace - Midlands [5400] | $654 | 117% |
| Prisma Health Seniorcare Pace-Upstate [5200] | $654 | 117% |
| Workers Comp [600] | $729 | 131% |
| Bob Jones Univ-Pai [821] | $872 | 156% |
| Ambetter / Centene | $958 | 172% |
| Sc Dept Of Corrections [2998] | $964 | 173% |
| Scdc-Sc Dept Of Corrections [7232] | $964 | 173% |
| Promise Health Plan Contracted [2401] | $987 - $1,691 | 177% |
| Orangeburg Senior Helping Center Pace [5401] | $1,128 | 202% |
| Bluechoice [810] | $1,164 - $2,380 | 209% |
| Meritain Health Contracted [2200] | $1,804 - $2,227 | 323% |
| Evernorth Behavioral Contracted [2982] | $1,956 | 350% |
| Mvp Health Care [3037] | $1,956 | 350% |
| Preferred Administrators Contracted [2839] | $1,973 | 353% |
| Medcost [2940] | $2,086 - $2,340 | 374% |
| Atlantic Packaging Contracted [4833] | $2,114 | 379% |
| Aps Healthcare System [2981] | $2,255 | 404% |
| Planned Administrators [820] | $2,255 | 404% |
| Multiplan/Phcs Contracted [2950] | $2,509 | 449% |
| Vsp Vision Care [2986] | $2,537 | 454% |
| First Health Contracted [2952] | $2,622 | 470% |
| Furman Int/Allen University Student [2951] | $2,622 | 470% |
| Quiktrip-First Health [3067] | $2,622 | 470% |
| Golden Rule Insurance Company [2991] | $2,650 | 475% |
| Oxford Health Plans [2992] | $2,650 | 475% |
| Zzumr-Salt Lake City Ut [3169] | $2,650 | 475% |