CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Palm Bay Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,369
Cash Discount Price: $682
vs. Medicare Baseline: 2.45x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Palm Bay Hospital is $1,369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $682. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 2.45x the Medicare baseline. Located in 1425 Malabar Rd, Ne, Palm Bay, FL.

Cash / Self-Pay

$682

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,369

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: $682 (122%)

Insurance Median: $1,369 (245%)

Cash: $682 (122% of Medicare)

Ins. Median: $1,369 (245% 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 245% of the Medicare baseline (a markup of 145%). 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
UnitedHealthcare	$63 - $2,727	11%
Health First Health Plan	$179 - $813	32%
Molina Healthcare	$299 - $3,054	54%
Humana	$305 - $2,727	55%
Aetna	$314 - $3,000	56%
Amerigroup	$314 - $2,727	56%
Sunshine Health Plan	$314 - $2,863	56%
Corizon Health	$571	102%
Florida Healthcare Plans	$862	154%
Cigna	$1,050 - $1,124	188%
Disney Cruise Line	$1,636	293%
Prime Heath Services, Inc.	$2,045	366%
Florida Blue	$2,046 - $2,138	367%
Multiplan	$2,182	391%

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 $682.
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 Palm Bay 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.