CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Prisma Health Tuomey Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $684
  • Cash Discount Price: $1,832
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Prisma Health Tuomey Hospital is $684. 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 1.23x the Medicare baseline. Located in 129 N Washington St, Sumter, SC.
Cash / Self-Pay
$1,832

Average discount available for prompt cash payment at this facility.

Insurance Median
$684

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: $684 (123%)
Cash: $1,832 (328% of Medicare)
Ins. Median: $684 (123% 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.

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
Medicaid / KanCare $303 - $434 54%
Humana $324 - $2,114 58%
UnitedHealthcare $434 - $2,121 78%
Blue Cross Blue Shield $511 - $2,434 92%
Cigna $511 - $2,162 92%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $511 92%
Medicare (plans) $511 - $536 92%
Triwest Healthcare Alliance Vcp [902] $511 92%
Va Community Care Network-Vaccn [903] $511 92%
Tricare $513 92%
Aetna $536 - $2,227 96%
Healthy Conn Prime-First Choice Vip Care [5300] $536 96%
Healthy Conn Prime-Molina Healthcare [5330] $536 96%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $536 96%
Bluechoice [810] $590 - $2,434 106%
Prisma Health Seniorcare Pace - Midlands [5400] $654 117%
Prisma Health Seniorcare Pace-Upstate [5200] $654 117%
Workers Comp [600] $715 128%
Bob Jones Univ-Pai [821] $872 156%
Ambetter / Centene $940 168%
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%
Meritain Health Contracted [2200] $1,804 - $2,227 323%
Preferred Administrators Contracted [2839] $1,973 353%
Medcost [2940] $2,086 - $2,340 374%
Atlantic Packaging Contracted [4833] $2,114 379%
Golden Rule Insurance Company [2991] $2,121 380%
Oxford Health Plans [2992] $2,121 380%
Zzumr-Salt Lake City Ut [3169] $2,121 380%
Aps Healthcare System [2981] $2,255 404%
Planned Administrators [820] $2,434 436%
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%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 129 N Washington St, Sumter, SC 29150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals