CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Cherokee Regional Medical Center

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $108
  • Cash Discount Price: $97
  • vs. Medicare Baseline: 7.03x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Cherokee Regional Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 7.03x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.
Cash / Self-Pay
$97

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

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: $97 (632%)
Insurance Median: $108 (703%)
Cash: $97 (632% of Medicare)
Ins. Median: $108 (703% 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 703% of the Medicare baseline (a markup of 603%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $57 - $108 371%
Blue Cross Blue Shield $57 - $108 371%
Health Partners $57 - $108 371%
Humana $57 - $108 371%
UnitedHealthcare $57 - $108 371%
Wellpoint $57 - $108 371%
Iowa Total Care $59 - $108 384%
Molina $59 - $108 384%
Admin Concepts $108 703%
American Republic $108 703%
Apw $108 703%
Auxiant $108 703%
Avera $108 703%
Bankers Life $108 703%
Champus $108 703%
Cigna $108 703%
Liability $108 703%
Meridian $108 703%
Meritain $108 703%
Midlands $108 703%
Mutual Of Omaha $108 703%
Occunet $108 703%
Physicians Mutual $108 703%
Private Healthcare $108 703%
Sanford $108 703%
United American $108 703%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Sioux Valley Drive, Cherokee, IA 51012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals