CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Tristar Southern Hills Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,289
Cash Discount Price: $4,793
vs. Medicare Baseline: 2.31x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Tristar Southern Hills Medical Center is $1,289. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,793. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.31x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.

Cash / Self-Pay

$4,793

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,289

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: $4,793 (859%)

Insurance Median: $1,289 (231%)

Cash: $4,793 (859% of Medicare)

Ins. Median: $1,289 (231% 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 231% of the Medicare baseline (a markup of 131%). 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	$256 - $1,102	46%
Bright Health	$815 - $1,150	146%
Oscar	$877	157%
Kentucky Labor Cabinet	$882	158%
Apex Health	$911	163%
Nhc Advantage, Inc.	$911	163%
Pruitt Health (Allyalign)	$911	163%
Ambetter / Centene	$1,069 - $1,112	191%
Humana	$1,198	215%
Cigna	$1,208 - $1,562	216%
United	$1,423 - $2,157	255%
Centurion	$1,975	354%
Aetna	$2,396 - $4,700	429%
Bgfh Singlesource	$2,396 - $4,074	429%
Multiplan	$2,780	498%
Employers Health Network	$3,355	601%
Odom'S Tn Pride Sausage	$3,595	644%
Beech Street	$4,218	756%
Prime Health	$4,218	756%

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 $4,793.
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 Southern Hills 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.