CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Riverview Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $3,016
Cash Discount Price: $607
vs. Medicare Baseline: 5.40x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Riverview Medical Center is $3,016. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $607. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.40x the Medicare baseline. Located in One Riverview Plaza, Red Bank, NJ.

Cash / Self-Pay

$607

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,016

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: $607 (109%)

Insurance Median: $3,016 (540%)

Cash: $607 (109% of Medicare)

Ins. Median: $3,016 (540% 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 540% of the Medicare baseline (a markup of 440%). 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
Karna	$111 - $333	20%
Aetna	$567 - $3,619	102%
Blue Cross Blue Shield	$607	109%
Vaccn	$607	109%
Wellcare	$607	109%
United Community/Americhoice	$637	114%
Clover	$724	130%
UnitedHealthcare	$728 - $3,003	130%
Seoul Medical Group	$873	156%
Oxford	$2,291	410%
Horizon	$2,565 - $3,246	459%
Bergen Risk	$3,016	540%
Qualcare	$3,124 - $3,538	560%
Cigna	$3,217 - $3,845	576%
Activecare First McO	$3,418	612%
Multiplan - PHCS	$3,418	612%
Amerihealth	$3,477 - $3,939	623%
Brighton Health Plan	$3,619	648%

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 $607.
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 Riverview Medical Center 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.