CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Marion Communtiy Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,650
Cash Discount Price: $11,523
vs. Medicare Baseline: 4.75x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Marion Communtiy Hospital is $2,650. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,523. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.75x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.

Cash / Self-Pay

$11,523

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,650

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: $11,523 (2064%)

Insurance Median: $2,650 (475%)

Cash: $11,523 (2064% of Medicare)

Ins. Median: $2,650 (475% 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 475% of the Medicare baseline (a markup of 375%). 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 - $1,704	24%
Prime Health	$138 - $1,740	25%
Careworks (Rockport Community)	$142 - $1,794	25%
Marion County Schools	$142 - $1,794	25%
Avmed	$1,383 - $3,226	248%
Simply Healthcare	$1,463	262%
Simply	$1,774	318%
Cigna	$2,005 - $4,793	359%
United	$2,005 - $5,185	359%
Molina Healthcare	$2,189 - $3,687	392%
Evolutions	$2,650	475%
Evolutions Healthcare	$2,650	475%
Aetna	$3,457	619%
Plotkin Health	$5,761	1032%
Prime Health Sheriff	$5,761	1032%
Multiplan	$8,988	1610%
Ppo Next	$9,794	1754%
Sunshine State Health Plan	$10,204	1828%
Novanet	$10,370	1858%

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 $11,523.
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 Marion Communtiy 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.