CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: HCA Florida Poinciana Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,836
Cash Discount Price: $12,331
vs. Medicare Baseline: 5.08x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at HCA Florida Poinciana Hospital is $2,836. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,331. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.08x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.

Cash / Self-Pay

$12,331

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,836

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: $12,331 (2209%)

Insurance Median: $2,836 (508%)

Cash: $12,331 (2209% of Medicare)

Ins. Median: $2,836 (508% 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 508% of the Medicare baseline (a markup of 408%). 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 - $1,790	24%
Prime Health	$138 - $1,827	25%
Careworks (Rockport Community)	$142 - $1,884	25%
Freedom Health	$888	159%
Optimum	$888	159%
Avmed	$986 - $6,165	177%
Simply	$1,899	340%
Oscar	$1,973	353%
Simply Healthcare	$2,059	369%
Cigna	$2,146	384%
Molina Healthcare	$2,343 - $3,329	420%
Evolutions	$2,836	508%
Aetna	$3,699	663%
United	$4,044 - $5,549	724%
Plotkin Health	$6,165	1104%
Prime Health Sheriff	$6,165	1104%
Multiplan	$9,248 - $10,481	1657%
Sunshine State Health Plan	$10,254	1837%

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 $12,331.
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 Poinciana 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.