CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Boulder Community Health

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $16
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Boulder Community Health is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 1.04x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$15.36

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.36 (100%)
Insurance Median: $16 (104%)
Ins. Median: $16 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.36 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.

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
Aetna $14 - $33 91%
Blue Cross Blue Shield $14 - $41 91%
Devoted Health $14 91%
Health Spring $14 91%
Humana $14 91%
Medicare (plans) $14 - $17 91%
UnitedHealthcare $14 - $27 91%
Clear Spring $15 98%
Medicaid / KanCare $15 98%
Rocky Mountain Health Maintenance Organization $15 - $219 98%
Colorado Access $17 - $20 111%
Select Health Colorado Public Option $20 - $31 130%
Select Health Value Network $20 - $33 130%
Beech Street Community Medical Associates $22 143%
Kaiser Ppo $22 - $34 143%
Kaiser Public Option $22 - $27 143%
Cigna $23 150%
Multiplan $23 150%
Phcs $23 150%
Kaiser $33 215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4747 Arapahoe Avenue, Boulder, CO 80304
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals