CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Robert Wood Johnson University Hospital - Somerset

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,049
Cash Discount Price: $745
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Robert Wood Johnson University Hospital - Somerset is $1,049. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $745. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.88x the Medicare baseline. Located in 110 Rehill Ave, Somerville, NJ.

Cash / Self-Pay

$745

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,049

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: $745 (133%)

Insurance Median: $1,049 (188%)

Cash: $745 (133% of Medicare)

Ins. Median: $1,049 (188% 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
Wellpoint	$108 - $599	19%
Blue Cross Blue Shield	$310 - $4,223	56%
UnitedHealthcare	$420 - $667	75%
Aetna	$599 - $3,831	107%
Clover Health	$599	107%
Humana	$599	107%
Fidelis Care	$599 - $686	107%
Emblem Health	$1,049	188%
Wellcare	$1,192	214%
Cigna	$2,200 - $3,239	394%
First Health	$2,518 - $2,770	451%
Qualcare Inc	$3,189 - $3,508	571%
Amerihealth	$3,594 - $3,954	644%

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 $745.
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 - Somerset 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.