CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Tristar Northcrest Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,296
Cash Discount Price: $5,143
vs. Medicare Baseline: 2.32x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Tristar Northcrest Medical Center is $1,296. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,143. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.32x the Medicare baseline. Located in 100 Northcrest Drive, Springfield, TN.

Cash / Self-Pay

$5,143

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,296

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: $5,143 (921%)

Insurance Median: $1,296 (232%)

Cash: $5,143 (921% of Medicare)

Ins. Median: $1,296 (232% 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 232% of the Medicare baseline (a markup of 132%). 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
Molina	$360	64%
Bright Health	$771 - $1,080	138%
Oscar	$807	145%
Nhc Advantage, Inc.	$977	175%
Ambetter / Centene	$993 - $1,029	178%
United	$1,137 - $2,314	204%
Blue Cross Blue Shield	$1,286	230%
Cigna	$1,296 - $1,507	232%
Aetna	$2,571 - $4,700	461%
City Of Springfield	$3,343	599%
Multiplan	$4,011 - $4,217	718%

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 $5,143.
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 Northcrest 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.