CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Cape Regional Medical Center Inc

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,433
Cash Discount Price: $675
vs. Medicare Baseline: 6.15x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Cape Regional Medical Center Inc is $3,433. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $675. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 6.15x the Medicare baseline. Located in Two Stone Harbor Blvd, Cape May Court House, NJ.

Cash / Self-Pay

$675

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,433

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: $675 (121%)

Insurance Median: $3,433 (615%)

Cash: $675 (121% of Medicare)

Ins. Median: $3,433 (615% 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 615% of the Medicare baseline (a markup of 515%). 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
Americhoice	$538 - $674	96%
Clover Health	$538	96%
Aetna	$587 - $957	105%
Amerigroup	$703	126%
Horizon Nj Health	$703	126%
Partners Direct Health	$968	173%
Blue Cross Blue Shield	$3,363 - $3,503	602%
Horizon Casualty Motor Vehicle	$4,187	750%
Horizon Casualty Workers Comp	$4,187	750%
Amerihealth	$4,313	773%
Cigna	$4,644	832%
Qualcare	$4,644 - $4,976	832%
UnitedHealthcare	$4,644 - $5,308	832%

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 $675.
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 Cape Regional Medical Center Inc 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.