CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Santa Rosa Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,719
Cash Discount Price: $2,662
vs. Medicare Baseline: 3.08x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Santa Rosa Medical Center is $1,719. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,662. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.08x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.

Cash / Self-Pay

$2,662

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,719

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: $2,662 (477%)

Insurance Median: $1,719 (308%)

Cash: $2,662 (477% of Medicare)

Ins. Median: $1,719 (308% 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 308% of the Medicare baseline (a markup of 208%). 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
UnitedHealthcare	$268 - $4,012	48%
Medicaid / KanCare	$299 - $347	54%
Humana	$308 - $561	55%
Wellcare	$314	56%
Molina	$338	61%
Fl Community Care	$344	62%
Veterans Eval Services	$518	93%
Tricare	$542	97%
Aetna	$561 - $13,658	100%
Blue Cross Blue Shield	$561 - $5,934	100%
Cigna	$561 - $4,674	100%
Medicare (plans)	$561	100%
Hospice Of Nw Fl	$571 - $10,340	102%
Node Champva	$571	102%
Node Va	$571	102%
Node Wellcare Mcr Adv	$590	106%
Geo Group	$713	128%
Node Us Dept Of Labor	$713	128%
Oscar	$1,058	190%
Florida State Auto Insurance	$1,141	204%
Ambetter / Centene	$1,364	244%
Self Pay	$1,749 - $4,756	313%
Prime Health Work Comp Fl	$1,754	314%
Florida Workers Compensation	$1,808	324%
Prime Health Services	$6,085 - $16,544	1090%

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 $2,662.
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 Santa Rosa 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.