CMS Price Transparency Data

Echocardiogram (heart ultrasound)

Facility: Saint Michael's Medical Center

Billing Code: 93306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93306
Insurance Median: $887
Cash Discount Price: $633
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Saint Michael's Medical Center is $887. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $633. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 1.59x the Medicare baseline. Located in 111 Central Avenue, Newark, NJ.

Cash / Self-Pay

$633

Average discount available for prompt cash payment at this facility.

Insurance Median

$887

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: $633 (113%)

Insurance Median: $887 (159%)

Cash: $633 (113% of Medicare)

Ins. Median: $887 (159% 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
Tricare	$507	91%
Aetna	$634 - $1,343	114%
Amerihealth	$634	114%
Horizon	$634 - $1,296	114%
Humana	$634	114%
Medicare (plans)	$634	114%
New Jersey Out of State	$634	114%
UnitedHealthcare	$634 - $1,939	114%
Wellpoint Amerigroup	$634	114%
Wellcare	$653 - $855	117%
Clover Health	$659	118%
Curana	$665	119%
Employer Direct Healthcare	$887	159%
Naphcare	$982	176%
Cigna	$1,013	181%
Fairprice Healthcare Holdings - Fphh	$1,014	182%
Coventry	$1,267	227%

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 $633.
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 Saint Michael's 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.