Tennessee · 93350

Ultrasound Of Heart During Rest, Exercise And/or Drug-Induced Stress With Report in Tennessee

Tennessee Medicare Avg
$59.48
1% below national avg
National Medicare Avg
$60.21
All states combined
Billed Charge (TN)
$284.26
What providers submit
Est. Commercial (TN)
$170.61
National avg: $173.78
Est. Cash / Self-Pay (TN)
$137.69
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

1.0K
Services in TN
151
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Tennessee

Provider Medicare Services
Graves, Dante M.D. $48.62 37
Rahman, Ayaz M.D. $45.33 35

Tennessee Pricing in Context

In Tennessee, CPT code 93350 (Ultrasound Of Heart During Rest, Exercise And/or Drug-Induced Stress With Report) carries an average Medicare payment of $59.48 — 1% below the national benchmark of $60.21. 151 providers across the state submitted claims for this procedure in 2023, performing 1.0K total services. Individual payments in TN ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Tennessee is $284.26, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Tennessee sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in Tennessee lands near $170.61, with self-pay cash prices typically around $137.69. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Ultrasound Of Heart During Rest, Exercise And/or Drug-Induced Stress With Report cost in Tennessee?

The average Medicare payment for Ultrasound Of Heart During Rest, Exercise And/or Drug-Induced Stress With Report in Tennessee is $59.48, which is 1% below the national average of $60.21. Providers in TN typically bill $284.26 for this procedure.

What does Ultrasound Of Heart During Rest, Exercise And/or Drug-Induced Stress With Report cost with insurance in Tennessee?

With commercial insurance in Tennessee, Ultrasound Of Heart During Rest, Exercise And/or Drug-Induced Stress With Report costs an estimated $170.61. Without insurance, the estimated cash price is $137.69. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Ultrasound Of Heart During Rest, Exercise And/or Drug-Induced Stress With Report in Tennessee?

151 providers in Tennessee billed Medicare for Ultrasound Of Heart During Rest, Exercise And/or Drug-Induced Stress With Report in 2023, performing 1.0K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Ultrasound Of Heart During Rest, Exercise And/or Drug-Induced Stress With Report cheaper in Tennessee than the national average?

Yes — Ultrasound Of Heart During Rest, Exercise And/or Drug-Induced Stress With Report costs 1% below the national average in Tennessee. The state average Medicare payment is $59.48 compared to $60.21 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial