CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Tristar Skyline Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,210
Cash Discount Price: $3,847
vs. Medicare Baseline: 2.17x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Tristar Skyline Medical Center is $1,210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,847. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.17x the Medicare baseline. Located in 3441 Dickerson Pike, Nashville, TN.

Cash / Self-Pay

$3,847

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,210

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: $3,847 (689%)

Insurance Median: $1,210 (217%)

Cash: $3,847 (689% of Medicare)

Ins. Median: $1,210 (217% 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 217% of the Medicare baseline (a markup of 117%). 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	$216 - $916	39%
Bright Health	$631 - $956	113%
Oscar	$679 - $729	122%
Kentucky Labor Cabinet	$683 - $733	122%
Nhc Advantage, Inc.	$705 - $757	126%
Pruitt Health (Allyalign)	$705 - $757	126%
Ambetter / Centene	$827 - $924	148%
United	$916 - $1,792	164%
Humana	$928 - $2,589	166%
Cigna	$935 - $1,298	167%
Centurion	$1,529 - $1,641	274%
Aetna	$1,855 - $4,700	332%
Bgfh Singlesource	$1,855 - $3,386	332%
Employers Health Network	$2,597 - $2,788	465%
Mhnet	$2,783 - $2,987	499%
Odom'S Tn Pride Sausage	$2,783 - $2,987	499%
Multiplan	$3,042 - $3,266	545%
Beech Street	$3,265 - $3,505	585%
Prime Health	$3,265 - $3,505	585%
Triwest Healthcare	$3,636 - $3,903	651%

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 $3,847.
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 Tristar Skyline 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.