CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Cleveland Clinic Martin North Hospital

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $24
Cash Discount Price: $180
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Cleveland Clinic Martin North Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 1.56x the Medicare baseline. Located in 200 Se Hospital Ave, Stuart, FL.

Cash / Self-Pay

$180

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

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%)

Cash / Self-Pay: $180 (1172%)

Insurance Median: $24 (156%)

Cash: $180 (1172% of Medicare)

Ins. Median: $24 (156% 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.

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
Amerihealth	$11	72%
Freedom Health	$11 - $15	72%
Miami Childrens Health Plan	$12 - $14	78%
Molina	$12	78%
Sunshine Health	$12	78%
Independent Living Systems	$13 - $15	85%
Avmed	$14 - $183	91%
Blue Cross Blue Shield	$14 - $615	91%
United	$14 - $1,158	91%
Careplus	$15	98%
Clear Spring Health	$16 - $19	104%
Aetna	$18 - $433	117%
Multiplan	$18 - $22	117%
Cigna	$22 - $242	143%
Clarity Health	$48 - $313	313%
The Legacy Companies	$48 - $313	313%
Consociate Health	$56	365%
Bmi	$265	1725%

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 $180.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93000.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cleveland Clinic Martin North Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93000.
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.