CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Palmetto General Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $853
  • Cash Discount Price: $4,090
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Palmetto General Hospital is $853. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,090. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.53x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$4,090

Average discount available for prompt cash payment at this facility.

Insurance Median
$853

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: $4,090 (733%)
Insurance Median: $853 (153%)
Cash: $4,090 (733% of Medicare)
Ins. Median: $853 (153% 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
Aetna $46 - $4,726 8%
Oscar Health Plan Hix $95 - $407 17%
Imagine Health $155 - $663 28%
Avmed Broad Network $167 30%
Healthsun Health Plans $202 - $557 36%
Self Pay/Uninsured $240 - $663 43%
Employer Direct Healthcare $244 - $539 44%
Cigna $269 - $3,316 48%
Humana $301 - $2,693 54%
Medicaid / KanCare $301 - $6,633 54%
UnitedHealthcare $306 - $1,023 55%
Veterans Administration Mill Bill $372 67%
Medicare (plans) $478 - $6,633 86%
Leon Health Inc $529 95%
Devoted Health $531 95%
Tricare $534 96%
Bristol Hospice- Miami Dade Llc $539 97%
Catholic Hospice $539 97%
Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc $539 97%
Hospice Other $539 97%
Ima Evalutations Inc $539 97%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $539 97%
Opuscare Of South Fl $539 97%
Seasons Hospice And Pallative Care Of Southern Florida Inc $539 97%
Select Specialty Hospital $539 97%
Veterans Administration Vaccn $539 97%
Vitas Healthcare Hospice $539 97%
Westchester General Hospital $539 97%
Longevity Health Plan $566 101%
Florida Pace Centers $637 114%
Bright Health Management Commercial $647 116%
Naphcare Inc $743 133%
Liga Contra El Cancer $774 - $2,000 139%
Bc/Bs Of Fl Phs $776 - $3,328 139%
Bc/Bs Of Fl Network Blue $823 147%
Bc/Bs Of Fl Blue Select Exchange Non Par $905 162%
Magellan Behavioral Health $929 - $3,980 166%
Avmed Exchange $944 169%
Bc/Bs Of Fl Miami Dade Blue Select $976 175%
Ambetter / Centene $998 179%
Dimensions International $1,006 - $4,311 180%
Molina Marketplace Program Exchange $1,027 184%
First Health $1,037 - $4,444 186%
Auto Insurance $1,079 193%
Bc/Bs Of Fl Ppo $1,094 196%
Avmed Select Network $1,104 198%
Amerihealth Caritas Next Exchange $1,160 208%
Dimension Health Ppo $1,161 - $4,974 208%
Dimension Health Wc $1,161 - $4,974 208%
Workers Compensation $1,161 - $4,974 208%
Bc/Bs Myblue Hmo Hix $1,278 229%
Bc/Bs Of Fl Simplyblue $1,344 241%
Bc/Bs Of Fl Health Options Hmo $1,461 262%
Beacon Health Strategies Commercial $1,548 - $6,633 277%
Commercial Non-Contracted $1,548 - $6,633 277%
Self Pay - Mcd Pending 100 Percent $1,548 - $6,633 277%
Single Case Agreement $1,548 - $6,633 277%
United Behavioral Health Psych $1,548 - $6,633 277%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 W 68Th St, Hialeah, FL 33016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals