CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Robert Wood Johnson University Hospital at Rahway

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,096
Cash Discount Price: $568
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Robert Wood Johnson University Hospital at Rahway is $1,096. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $568. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.96x the Medicare baseline. Located in 865 Stone St, Rahway, NJ.

Cash / Self-Pay

$568

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,096

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: $568 (102%)

Insurance Median: $1,096 (196%)

Cash: $568 (102% of Medicare)

Ins. Median: $1,096 (196% 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
Blue Cross Blue Shield	$310 - $2,360	56%
UnitedHealthcare	$465 - $846	83%
Fidelis Care	$478 - $599	86%
Aetna	$509 - $1,834	91%
Wellpoint	$599	107%
Humana	$599	107%
Clover Health	$599	107%
Emblem Health	$1,049	188%
Wellcare	$1,192	214%
Amerihealth	$1,986 - $2,588	356%
Cigna	$2,046 - $3,011	367%
First Health	$2,518 - $2,770	451%
Qualcare Inc	$2,820 - $3,102	505%

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 $568.
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 Robert Wood Johnson University Hospital at Rahway 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.