CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Erlanger Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $212
Cash Discount Price: $200
vs. Medicare Baseline: 0.38x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Erlanger Medical Center is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.38x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.

Cash / Self-Pay

$200

Average discount available for prompt cash payment at this facility.

Insurance Median

$212

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: $200 (36%)

Insurance Median: $212 (38%)

Cash: $200 (36% of Medicare)

Ins. Median: $212 (38% 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
UnitedHealthcare	$49 - $622	9%
Amerigroup	$56 - $852	10%
Caresource	$61 - $1,006	11%
Peach State Hlth Plan	$61 - $227	11%
Cigna	$63 - $2,046	11%
Devoted Health	$70 - $523	13%
Bluecare	$74 - $599	13%
Humana	$77 - $2,446	14%
Atrio Health	$84 - $553	15%
Point Comfort Underwriters	$84 - $472	15%
Aetna	$85 - $1,997	15%
Alexian	$91 - $262	16%
Pruitthealth Premier	$98 - $269	18%
Blue Cross Blue Shield	$223 - $3,261	40%
Clover	$262 - $503	47%
Medicare (plans)	$262	47%
Upmc	$262 - $503	47%
American Health	$270 - $518	48%
Nhc	$275 - $528	49%
Simpra Advantage	$288	52%
Ambetter / Centene	$328 - $629	59%
Pnoa	$367 - $1,257	66%
Caresource Ga	$375 - $672	67%
Caresource Tn	$375 - $672	67%
Olympus	$393 - $3,057	70%
Alliant	$419 - $3,057	75%
Caresource Nc	$452 - $672	81%
Occunet	$459 - $478	82%
Wellpoint	$1,630	292%
First Health	$3,261 - $3,465	584%

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 $200.
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 Erlanger 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.