CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: UW Health

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $26
Cash Discount Price: $21
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at UW Health is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 1.69x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

$26

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: $21 (137%)

Insurance Median: $26 (169%)

Cash: $21 (137% of Medicare)

Ins. Median: $26 (169% 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	$15 - $41	98%
Blue Cross Blue Shield	$15 - $129	98%
Humana	$15	98%
Medicare (plans)	$15 - $16	98%
Mychoice Wi Medical Adv	$15	98%
UnitedHealthcare	$15 - $27	98%
Quartz Fully Insured	$21 - $27	137%
Cigna	$22	143%
Alliance Premier Network	$24 - $28	156%
Quartz Aso	$24 - $30	156%
The Alliance	$26 - $31	169%
Hfn	$27 - $42	176%
Ecoh	$29 - $42	189%
Medicaid / KanCare	$41	267%
Wps	$64	417%
Beloit Healt System	$75	488%
Workers Comp	$88	573%
Mercy Care	$90	586%

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 $21.
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 UW Health 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.