CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: St Joseph's University Medical Center Inc

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $233
Cash Discount Price: $3,462
vs. Medicare Baseline: 0.42x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at St Joseph's University Medical Center Inc is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,462. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 0.42x the Medicare baseline. Located in 703 Main St, Paterson, NJ.

Cash / Self-Pay

$3,462

Average discount available for prompt cash payment at this facility.

Insurance Median

$233

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: $3,462 (620%)

Insurance Median: $233 (42%)

Cash: $3,462 (620% of Medicare)

Ins. Median: $233 (42% 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.

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
Fidelis Care of New Jersey	$55 - $693	10%
UnitedHealthcare	$55 - $683	10%
Aetna	$74 - $1,425	13%
Ambetter / Centene	$74 - $974	13%
Amerihealth	$74 - $2,204	13%
Clover Health	$74 - $649	13%
Horizon New Jersey Total Care	$74 - $649	13%
Wellpoint	$74 - $680	13%
Blue Cross Blue Shield	$75 - $1,848	13%
Oxford	$78 - $632	14%
Multiplan	$110 - $2,596	20%
Private Healthcare Systems	$139 - $2,250	25%
Consumer Health Network	$160 - $3,116	29%
Horizon New Jersey Health	$182 - $1,073	33%
Cigna	$214 - $3,462	38%
Longevity Health Plan	$747	134%
Magnacare	$2,423	434%
Oscar	$3,261	584%

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 $3,462.
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 St Joseph's University 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.