CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Johnson City Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $535
Cash Discount Price: $448
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Johnson City Medical Center is $535. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $448. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.96x the Medicare baseline. Located in 400 N State of Franklin Rd, Johnson City, TN.

Cash / Self-Pay

$448

Average discount available for prompt cash payment at this facility.

Insurance Median

$535

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: $448 (80%)

Insurance Median: $535 (96%)

Cash: $448 (80% of Medicare)

Ins. Median: $535 (96% 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	$171 - $699	31%
UnitedHealthcare	$354 - $2,776	63%
Cigna	$413 - $1,387	74%
Amerigroup	$462 - $510	83%
Aetna	$510 - $1,907	91%
Humana	$510	91%
Managed Medicaire	$510	91%
Medicare (plans)	$510	91%
Mountain Empire Pace	$510	91%
Sentara Health	$510 - $1,043	91%
United Mine Workers Of America	$510	91%
Molina Healthcare	$530 - $619	95%
Devoted Health Plan	$535	96%
Nhc Advantage	$535	96%
Wellcare	$540 - $2,989	97%
Optima Health	$596	107%
Medcost	$1,046	187%
Ambetter / Centene	$1,112	199%
First Health Coventry	$2,242	402%
Seven Corners, Inc.	$2,989	535%

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 $448.
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 Johnson City 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.