CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Monmouth Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $1,978
Cash Discount Price: $860
vs. Medicare Baseline: 3.54x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Monmouth Medical Center is $1,978. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $860. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.54x the Medicare baseline. Located in 300 Second Avenue, Long Branch, NJ.

Cash / Self-Pay

$860

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,978

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: $860 (154%)

Insurance Median: $1,978 (354%)

Cash: $860 (154% of Medicare)

Ins. Median: $1,978 (354% 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 354% of the Medicare baseline (a markup of 254%). 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
Blue Cross Blue Shield	$414 - $3,983	74%
Humana	$607	109%
Fidelis Care	$607 - $1,043	109%
Clover Health	$607	109%
Aetna	$607 - $2,471	109%
Wellpoint	$607 - $2,347	109%
UnitedHealthcare	$611 - $1,023	109%
Emblem Health	$1,062	190%
Wellcare	$1,208	216%
Cigna	$1,831 - $2,559	328%
First Health	$2,246 - $2,471	402%
Amerihealth	$2,795 - $3,074	501%
Qualcare Inc	$2,875 - $3,373	515%

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 $860.
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 Monmouth 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.