CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Fishermen's Community Hospital

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,578
Cash Discount Price: $4,109
vs. Medicare Baseline: 6.41x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Fishermen's Community Hospital is $3,578. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,109. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 6.41x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.

Cash / Self-Pay

$4,109

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,578

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: $4,109 (736%)

Insurance Median: $3,578 (641%)

Cash: $4,109 (736% of Medicare)

Ins. Median: $3,578 (641% 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 641% of the Medicare baseline (a markup of 541%). 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
Amerigroup	$288	52%
Medicaid / KanCare	$288 - $317	52%
UnitedHealthcare	$288 - $6,321	52%
Wellcare	$303	54%
Sunshine State	$306	55%
Aetna	$312 - $4,842	56%
Vista	$312	56%
Blue Cross Blue Shield	$1,056 - $6,321	189%
Leon Medical	$1,327	238%
Medica Health Plan	$1,327	238%
Medicare (plans)	$1,327 - $1,792	238%
Humana	$1,447	259%
Avmed	$1,460 - $5,234	262%
Cigna	$1,513 - $5,057	271%
Non Contracted	$2,320	416%
International	$4,109	736%
Amerihealth	$4,741	849%
Dimension Health Plan	$4,741 - $5,689	849%
Affordable	$5,689	1019%
Phcs	$5,689	1019%
Quality Health	$5,689	1019%

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 $4,109.
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 Fishermen's Community 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.