CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Ocean Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $2,815
Cash Discount Price: $574
vs. Medicare Baseline: 5.04x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Ocean Medical Center is $2,815. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $574. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 5.04x the Medicare baseline. Located in 425 Jack Martin Blvd, Brick, NJ.

Cash / Self-Pay

$574

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,815

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: $574 (103%)

Insurance Median: $2,815 (504%)

Cash: $574 (103% of Medicare)

Ins. Median: $2,815 (504% 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 504% of the Medicare baseline (a markup of 404%). 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 - $349	20%
Aetna	$548 - $3,619	98%
Amerigroup	$548	98%
Horizon	$548 - $3,320	98%
Vaccn	$548 - $599	98%
Wellcare	$548 - $599	98%
United Community/Americhoice	$576 - $629	103%
Blue Cross Blue Shield	$599	107%
UnitedHealthcare	$719 - $2,506	129%
Clover	$724	130%
Seoul Medical Group	$780 - $865	140%
Oxford	$2,718	487%
Activecare First McO	$2,815 - $3,418	504%
Intergroup	$2,815	504%
Bergen Risk	$3,016	540%
Qualcare	$3,124 - $3,538	560%
Prime Health	$3,217	576%
Multiplan - PHCS	$3,418	612%
Amerihealth	$3,455 - $3,913	619%
Brighton Health Plan	$3,619	648%
Cigna	$3,845 - $3,871	689%

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 $574.
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 Ocean 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.