CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: HCA Florida Citrus Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,761
Cash Discount Price: $7,824
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at HCA Florida Citrus Hospital is $1,761. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,824. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.15x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.

Cash / Self-Pay

$7,824

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,761

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: $7,824 (1402%)

Insurance Median: $1,761 (315%)

Cash: $7,824 (1402% of Medicare)

Ins. Median: $1,761 (315% 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 315% of the Medicare baseline (a markup of 215%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$368	66%
Access 2 Healthcare Physicians Freedom Health	$469	84%
Access 2 Healthcare Physicians Optimum	$469	84%
Freedom Health Care	$509	91%
Optimum Healthcare	$509	91%
Avmed	$626 - $1,956	112%
Simply Healthcare	$994	178%
Oscar	$1,174	210%
United	$1,283 - $3,521	230%
Cigna	$1,361	244%
Molina	$1,486 - $2,112	266%
Corvel Corporation	$1,688	302%
Rockport Healthcare Group	$1,688	302%
Prime Health	$1,723	309%
Evolutions Healthcare Systems	$1,799 - $7,198	322%
Sunshine State Health Plan	$1,995	357%
Humana	$2,191	392%
Aetna	$2,347	420%
Beacon Health Options	$3,912	701%
Plotkin Health	$3,912	701%
Prime Health Sheriff	$3,912	701%
Multiplan	$5,868 - $6,650	1051%
Evernorth	$6,259	1121%

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 $7,824.
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 HCA Florida Citrus Hospital 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.