CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Franklin General Hospital

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $76
Cash Discount Price: $77
vs. Medicare Baseline: 4.95x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Franklin General Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 4.95x the Medicare baseline. Located in 1720 Central Avenue East, Hampton, IA.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $77 (501%)

Insurance Median: $76 (495%)

Cash: $77 (501% of Medicare)

Ins. Median: $76 (495% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 495% of the Medicare baseline (a markup of 395%). 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
Wellmark Mcr Adv	$34 - $35	221%
Ambetter / Centene	$35 - $382	228%
Amerigroup Mcaid - All Other Plans	$35 - $36	228%
Molina Mcaid - All Other Plans	$36	234%
Medical Ass Hosp Employer Group	$50 - $52	326%
Midlands Choice-All Plans	$59 - $60	384%
Medical Associates Hp-All Other Plans	$71 - $73	462%
Preferred Health Choices-All Plans	$71 - $73	462%
Splashlight Llc-All Plans	$71 - $73	462%
Aetna	$78 - $82	508%
Multiplan-All Plans	$80 - $82	521%
Wellmark Hmo	$83	540%
Wellmark Ppo - All Other Plans	$91	592%
Medical Associates Mcare	$239	1556%
Mount Carmel Hp-All Plans	$239	1556%
Tricare	$239	1556%
Amerigroup Mcare	$241	1569%
Molina Mcare	$248	1615%
American Hp Iowa - All Plans	$251	1634%
Centivo - All Plans	$358	2331%
Oscar - All Plans	$358	2331%

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 $77.
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 Franklin General 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.