CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Fhn Memorial Hospital

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $23
Cash Discount Price: $80
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Fhn Memorial Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 1.50x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$23

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: $80 (521%)

Insurance Median: $23 (150%)

Cash: $80 (521% of Medicare)

Ins. Median: $23 (150% 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 - $98	91%
Health Alliance Mcr Adv	$15	98%
Humana	$15 - $139	98%
Quartz Mcr Adv	$15	98%
The Alliance - All Plans	$15 - $106	98%
UnitedHealthcare	$15 - $137	98%
Ecoh Nihp	$16 - $111	104%
Nihp Employ - All Plans	$16 - $111	104%
Quartz - All Other Plans	$16 - $114	104%
Blue Cross Blue Shield	$17 - $119	111%
Ecoh - All Other Plans	$17 - $120	111%
Northern Il Hp - All Plans	$17 - $121	111%
First Health - All Plans	$18 - $124	117%
Hfn - All Plans	$20 - $144	130%
First Choice Il - All Plans	$21 - $150	137%
Multiplan Phcs - All Plans	$21 - $150	137%
Galaxy - All Plans	$22 - $158	143%
Health Alliance - All Other Plans	$22 - $158	143%
Interplan Health - All Plans	$22 - $158	143%
Meridian Health Plan - All Plans	$22	143%
Preferred Plan Ppo - All Plans	$22 - $158	143%
Wps - All Plans	$22 - $154	143%
Trustmark - All Plans	$23 - $162	150%
Midland Choice - All Plans	$24 - $167	156%
Osf Healthplans - All Plans	$25 - $176	163%

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 $80.
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 Fhn Memorial Hospital 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.