CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Boone County Hospital

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $16
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Boone County Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 1.04x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$27

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%)
Cash / Self-Pay: $27 (176%)
Insurance Median: $16 (104%)
Cash: $27 (176% of Medicare)
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 - $27 91%
Amerigroup Mcr Adv - All Other Plans $14 91%
Choice Care Mcr Adv - All Plans $14 91%
Humana $14 - $31 91%
Iowa Hlth Adv - All Plans $14 91%
Mt Carmel Hp - All Plans $14 91%
Tricare $14 91%
UnitedHealthcare $14 - $20 91%
Va Ccn-All Plans $14 91%
Meridian Mcaid - All Plans $15 98%
Iowa Total Care Mcaid - All Plans $16 104%
Medicaid / KanCare $16 104%
Healthsmart Accell Network $24 156%
Medical Associates Hp-All Plans $26 169%
Healthsmart Ppo - All Other Plans $27 176%
Health Alliance-All Plans $31 202%
Midlands Choice-All Plans $31 202%
Mutually Preferred-All Plans $32 208%
Wellmark Hmo $80 521%
Wellmark Ppo - All Other Plans $88 573%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals