CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $318
Cash Discount Price: $1,358
vs. Medicare Baseline: 0.57x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Cleveland Clinic Indian River Hospital is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,358. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.57x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.

Cash / Self-Pay

$1,358

Average discount available for prompt cash payment at this facility.

Insurance Median

$318

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: $1,358 (243%)

Insurance Median: $318 (57%)

Cash: $1,358 (243% of Medicare)

Ins. Median: $318 (57% 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.

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
United	$123 - $550	22%
UnitedHealthcare	$141	25%
Amerihealth	$148	27%
Medicaid / KanCare	$148	27%
Molina	$148	27%
Value Options	$148 - $189	27%
Wellcare	$148 - $550	27%
Avmed	$189 - $1,260	34%
Blue Cross Blue Shield	$189 - $1,428	34%
Careplus	$189 - $550	34%
Magellan	$189 - $2,129	34%
Freedom Health	$199 - $550	36%
Independent Living Systems	$199 - $578	36%
Wellmed	$199 - $550	36%
Clear Spring Health	$205 - $272	37%
Aetna	$227 - $2,839	41%
Cigna	$295 - $1,065	53%
Clarity Health	$408 - $2,307	73%
The Legacy Companies	$408 - $2,307	73%
National Provider Network	$440	79%
Three Rivers	$440	79%
Consociate Health	$471	84%
Carelon Bh Strategies	$550	99%
Humana	$550	99%
Devoted Health	$605	108%
Bmi	$1,952	350%
Multiplan	$2,839	509%

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 $1,358.
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 Cleveland Clinic Indian River 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.