CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Capital Health Medical Center - Hopewell

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,846
Cash Discount Price: $28,547
vs. Medicare Baseline: 5.10x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Capital Health Medical Center - Hopewell is $2,846. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28,547. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.10x the Medicare baseline. Located in One Capital Way, Pennington, NJ.

Cash / Self-Pay

$28,547

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,846

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: $28,547 (5114%)

Insurance Median: $2,846 (510%)

Cash: $28,547 (5114% of Medicare)

Ins. Median: $2,846 (510% 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 510% of the Medicare baseline (a markup of 410%). 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
Horizon Nj Health	$598	107%
Clover	$615	110%
Wellpoint	$615 - $1,241	110%
Medicare (plans)	$617	111%
Humana	$627	112%
Fidelis	$959	172%
UnitedHealthcare	$1,135 - $1,317	203%
Medicaid / KanCare	$1,211 - $1,227	217%
Aetna	$1,392 - $1,551	249%
Cigna	$2,451 - $21,545	439%
Blue Cross Blue Shield	$2,828 - $3,436	507%
Oxford Benefit Plan	$10,326 - $10,457	1850%
Multiplan	$24,112 - $24,418	4319%

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 $28,547.
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 Capital Health Medical Center - Hopewell 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.