CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Clarinda Regional Health Center

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $26
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Clarinda Regional Health Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 1.69x the Medicare baseline. Located in 220 Essie Davison Drive, Clarinda, IA.
Cash / Self-Pay
$76

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $76 (495%)
Insurance Median: $26 (169%)
Cash: $76 (495% of Medicare)
Ins. Median: $26 (169% 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
Ambetter / Centene $13 - $69 85%
Blue Cross Blue Shield $13 - $106 85%
Molina Mcr Adv-All Plans $13 - $64 85%
UnitedHealthcare $13 - $131 85%
Amerigroup Ia Mcaid-All Plans $14 - $71 91%
Coventry Health Mcr Adv $14 91%
Ia Total Care Mcaid-All Plans $14 - $70 91%
Coventry Health-All Other Plans $25 - $125 163%
Geha-All Plans $25 - $124 163%
Midlands Choice-All Plans $26 - $126 169%
Multiplan-All Plans $26 - $126 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 220 Essie Davison Drive, Clarinda, IA 51632
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals