CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Nemours Childrens Hospital, Florida

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93306
  • Insurance Median: $2,445
  • Cash Discount Price: $5,433
  • vs. Medicare Baseline: 4.38x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Nemours Childrens Hospital, Florida is $2,445. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,433. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 4.38x the Medicare baseline. Located in 6535 Nemours Pkwy, Orlando, FL.
Cash / Self-Pay
$5,433

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,445

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: $5,433 (973%)
Insurance Median: $2,445 (438%)
Cash: $5,433 (973% of Medicare)
Ins. Median: $2,445 (438% 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 438% of the Medicare baseline (a markup of 338%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $457 - $2,391 82%
Tricare $550 99%
UnitedHealthcare $895 160%
Avmed $1,684 302%
Employers Health Network Fl $2,173 389%
Florida Blue $2,173 - $3,314 389%
Truli $2,173 389%
Cigna $2,195 393%
Evolutions Healthcare $2,445 438%
Integra Administrative Group $3,260 584%
Global Medical Management $3,531 633%
Prime Health Services $3,531 633%
Star Healthcare Network $3,531 633%
Velocity $4,075 730%
First Health Network $4,238 759%
Pnoa $4,346 779%
Seminole Tribe Of Fl $4,346 779%
Private Healthcare Systems $4,998 895%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6535 Nemours Pkwy, Orlando, FL 32827
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens