CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Central Florida Lake Monroe Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,287
Cash Discount Price: $10,957
vs. Medicare Baseline: 5.89x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Central Florida Lake Monroe Hospital is $3,287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,957. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.89x the Medicare baseline. Located in 1401 W Seminole Blvd, Sanford, FL.

Cash / Self-Pay

$10,957

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,287

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: $10,957 (1963%)

Insurance Median: $3,287 (589%)

Cash: $10,957 (1963% of Medicare)

Ins. Median: $3,287 (589% 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 589% of the Medicare baseline (a markup of 489%). 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
Corvel Corporation	$135 - $1,790	24%
Prime Health	$138 - $1,827	25%
Careworks (Rockport Community)	$142 - $1,884	25%
Freedom Health	$789	141%
Optimum	$789	141%
Simply	$1,687	302%
Oscar	$1,753	314%
Simply Healthcare	$1,830	328%
Cigna	$1,907	342%
Molina Healthcare	$2,082 - $3,506	373%
Evolutions	$2,520	451%
Avmed	$2,630 - $5,478	471%
Aetna	$3,287	589%
United	$3,660 - $4,931	656%
Florida Health Care Plan	$4,131	740%
Plotkin Health	$5,478	981%
Prime Health Sheriff	$5,478	981%
Multiplan	$8,218 - $9,313	1472%
Three Rivers Provider Network	$8,218	1472%
Ppo Next	$9,313	1668%
Novanet	$9,861	1766%
Sunshine State Health Plan	$10,254	1837%

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 $10,957.
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 Central Florida Lake Monroe 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.