CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Gulf Breeze Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,132
Cash Discount Price: $1,200
vs. Medicare Baseline: 2.03x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Gulf Breeze Hospital is $1,132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,200. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.03x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.

Cash / Self-Pay

$1,200

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,132

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: $1,200 (215%)

Insurance Median: $1,132 (203%)

Cash: $1,200 (215% of Medicare)

Ins. Median: $1,132 (203% 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 203% of the Medicare baseline (a markup of 103%). 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
Aetna	$301 - $5,840	54%
Cha Health Plan	$301	54%
UnitedHealthcare	$301 - $2,120	54%
Humana	$316 - $561	57%
Sunshine Health	$316	57%
Wellcare	$316 - $578	57%
Fl Community Care Ltc	$322	58%
Simply Healthcare Healthy Kids	$346	62%
Medicare (plans)	$444	80%
Hospice Covenant	$550	99%
Fl Blue	$919 - $1,866	165%
Bc Fl	$1,132	203%
Pensacola	$1,200	215%
Wc Corvel	$1,608 - $7,600	288%
Hospice Regency	$2,400	430%
Cigna	$3,800 - $8,000	681%
Hospice Emerald Coast	$4,000	717%
Private Healthcare	$5,200	931%
Uwf Athletes	$5,200	931%
First Health	$5,560	996%
Choicecare	$6,000	1075%
Multiplan	$7,120	1275%

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 $1,200.
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 Gulf Breeze 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.