CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Tristar Summit Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,257
Cash Discount Price: $7,893
vs. Medicare Baseline: 4.04x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Tristar Summit Medical Center is $2,257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,893. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.04x the Medicare baseline. Located in 5655 Frist Blvd, Hermitage, TN.

Cash / Self-Pay

$7,893

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,257

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: $7,893 (1414%)

Insurance Median: $2,257 (404%)

Cash: $7,893 (1414% of Medicare)

Ins. Median: $2,257 (404% 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 404% of the Medicare baseline (a markup of 304%). 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	$231 - $1,815	41%
Bright Health	$1,342 - $1,894	240%
Oscar	$1,444	259%
Kentucky Labor Cabinet	$1,453	260%
Apex Health	$1,500	269%
Nhc Advantage, Inc.	$1,500	269%
Pruitt Health (Allyalign)	$1,500	269%
Ambetter / Centene	$1,760 - $1,831	315%
Humana	$1,973 - $5,130	353%
Cigna	$1,989 - $6,314	356%
United	$2,202 - $3,552	394%
Centurion	$3,252	583%
Aetna	$3,807 - $4,700	682%
Bgfh Singlesource	$3,946 - $6,709	707%
Multiplan	$5,130	919%
Employers Health Network	$5,525	990%
Odom'S Tn Pride Sausage	$5,919	1060%
Compsych	$6,314	1131%
Beech Street	$6,945	1244%
Prime Health	$6,945	1244%

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 $7,893.
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 Summit 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.