CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Cass County Memorial Hospital

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $16
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Cass County Memorial Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 1.04x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.
Cash / Self-Pay
$38

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: $38 (247%)
Insurance Median: $16 (104%)
Cash: $38 (247% 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
Midlands Choice Medica Mcr $11 72%
Aetna $14 - $49 91%
Amerigroup Mcr Adv - All Other Plans $14 91%
Iowa Total Care Mcr $14 91%
Medica Mcr Adv $14 91%
Tricare $14 91%
Triwest - All Plans $14 91%
UnitedHealthcare $14 - $25 91%
Va Ccn - All Plans $14 91%
Wellmark Mcr Adv $14 91%
American Hlth Mcr Adv - All Plans $15 98%
Iowa Total Care Comm - All Other Plans $16 104%
Iowa Total Care Mcaid $26 169%
Medicaid / KanCare $26 169%
Molina Mcaid - All Plans $26 169%
Wellmark Hmo $29 189%
Midlands Choice New Bus $32 208%
Midlands Choice Pho (Ppo) - All Other Plans $32 208%
Wellmark Ppo - All Other Plans $34 221%
Medica Comm - All Other Plans $48 313%
Multiplan - All Plans $51 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 East Tenth Street, Atlantic, IA 50022
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals