CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Tristar Hendersonville Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,872
Cash Discount Price: $7,444
vs. Medicare Baseline: 3.35x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Tristar Hendersonville Medical Center is $1,872. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,444. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.35x the Medicare baseline. Located in 355 New Shackle Island Rd, Hendersonville, TN.

Cash / Self-Pay

$7,444

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,872

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: $7,444 (1333%)

Insurance Median: $1,872 (335%)

Cash: $7,444 (1333% of Medicare)

Ins. Median: $1,872 (335% 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 335% of the Medicare baseline (a markup of 235%). 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	$253 - $1,794	45%
Bright Health	$1,205 - $1,872	216%
Oscar	$1,297 - $1,427	232%
Kentucky Labor Cabinet	$1,305 - $1,436	234%
Apex Health	$1,347 - $1,482	241%
Nhc Advantage, Inc.	$1,347 - $1,482	241%
Pruitt Health (Allyalign)	$1,347 - $1,482	241%
Ambetter / Centene	$1,581 - $1,809	283%
Humana	$1,772 - $1,950	317%
Cigna	$1,787 - $2,620	320%
United	$1,787 - $3,509	320%
Aetna	$3,545 - $4,700	635%
Bgfh Singlesource	$3,545 - $6,629	635%
Employers Health Network	$4,963 - $5,459	889%
Odom'S Tn Pride Sausage	$5,317 - $5,849	952%
Multiplan	$5,814 - $6,395	1041%
Beech Street	$6,523 - $7,175	1168%

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 $7,444.
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 Hendersonville 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.