CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: North Shore Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $836
  • Cash Discount Price: $7,092
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at North Shore Medical Center is $836. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,092. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.50x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$7,092

Average discount available for prompt cash payment at this facility.

Insurance Median
$836

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: $7,092 (1270%)
Insurance Median: $836 (150%)
Cash: $7,092 (1270% of Medicare)
Ins. Median: $836 (150% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Avmed Broad Network $161 29%
Healthsun Health Plans $202 - $557 36%
Aetna $213 - $5,106 38%
Self Pay/Uninsured $240 - $663 43%
Employer Direct Healthcare $244 - $539 44%
Humana $301 - $2,830 54%
Medicaid / KanCare $301 - $7,092 54%
UnitedHealthcare $306 - $1,032 55%
Veterans Administration Mill Bill $372 67%
Oscar Health Plan Hix $435 78%
Medicare (plans) $478 - $7,092 86%
Leon Health Inc $529 95%
Devoted Health $531 95%
Tricare $534 96%
Hospice Other $539 97%
Veterans Administration Vaccn $539 97%
Cigna $557 - $3,546 100%
Longevity Health Plan $566 101%
Florida Pace Centers $637 114%
Bright Health Management Commercial $647 116%
Centurion Prison $663 119%
Imagine Health $709 127%
Bc/Bs Of Fl Network Blue $836 150%
Bc/Bs Of Fl Blue Select Exchange Non Par $919 165%
Avmed Exchange $944 169%
Ambetter / Centene $998 179%
Molina Marketplace Program Exchange $1,027 184%
Auto Insurance $1,079 193%
Bc/Bs Of Fl Ppo $1,089 195%
Avmed Select Network $1,104 198%
Amerihealth Caritas Next Exchange $1,160 208%
Bc/Bs Myblue Hmo Hix $1,311 235%
Bc/Bs Of Fl Simplyblue $1,380 247%
Bc/Bs Of Fl Health Options Hmo $1,502 269%
Bc/Bs Of Fl Phs $3,676 658%
Magellan Behavioral Health $4,255 762%
Dimensions International $4,610 826%
First Health $4,822 864%
Dimension Health Ppo $5,319 953%
Dimension Health Wc $5,319 953%
Workers Compensation $5,319 953%
Beacon Health Strategies Commercial $7,092 1270%
Commercial Non-Contracted $7,092 1270%
Self Pay - Mcd Pending 100 Percent $7,092 1270%
Single Case Agreement $7,092 1270%
United Behavioral Health Psych $7,092 1270%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals