CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: HCA Florida Raulerson Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,479
Cash Discount Price: $13,379
vs. Medicare Baseline: 6.23x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at HCA Florida Raulerson Hospital is $3,479. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,379. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 6.23x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$13,379

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,479

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: $13,379 (2397%)

Insurance Median: $3,479 (623%)

Cash: $13,379 (2397% of Medicare)

Ins. Median: $3,479 (623% 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 623% of the Medicare baseline (a markup of 523%). 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 - $1,682	24%
Careworks (Rockport)	$138 - $1,717	25%
Prime Health	$138 - $1,717	25%
Freedom Health	$1,151 - $2,141	206%
Optimum	$1,151	206%
Avmed	$1,739 - $6,690	312%
Simply Healthcare Plans	$1,739	312%
Molina	$2,542 - $3,612	455%
Oscar	$2,542	455%
Health Sun Health Plan	$2,850	511%
Simply Healthcare	$3,144	563%
Cigna	$3,519 - $4,696	630%
Aetna	$4,014	719%
United Ppo	$5,887	1055%
United	$6,021	1079%
Plotkin Health	$6,690	1198%
Prime Health Sherriff	$6,690	1198%
Multiplan	$10,034 - $11,372	1797%

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 $13,379.
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 HCA Florida Raulerson 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.