CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: St Anthony Regional Hospital & Nursing Home

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $22
Cash Discount Price: $43
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at St Anthony Regional Hospital & Nursing Home is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 1.43x the Medicare baseline. Located in 311 South Clark Street, Carroll, IA.

Cash / Self-Pay

$43

Average discount available for prompt cash payment at this facility.

Insurance Median

$22

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: $43 (280%)

Insurance Median: $22 (143%)

Cash: $43 (280% of Medicare)

Ins. Median: $22 (143% 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.

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
Aetna	$14 - $43	91%
Humana	$14 - $37	91%
Medica Mcr - All Plans	$14	91%
UnitedHealthcare	$14 - $22	91%
Va Ccn - All Plans	$14	91%
Wellpoint Mcr Adv	$14	91%
Ia Total Care Mcr	$15	98%
Ia Total Care Comm - All Other Plans	$18	117%
Ia Total Care Mcaid	$26	169%
Molina Mcaid - All Plans	$26	169%
Wellpoint Mcaid - All Other Plans	$26	169%
Wellmark Hmo	$29	189%
Midlands Choice - All Plans	$32	208%
Wellmark Ppo-All Other Plans	$34	221%

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 $43.
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 St Anthony Regional Hospital & Nursing Home 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.