CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Northwest Health-La Porte

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $33
Cash Discount Price: $19
vs. Medicare Baseline: 2.15x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Northwest Health-La Porte is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 2.15x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.

Cash / Self-Pay

$19

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $19 (124%)

Insurance Median: $33 (215%)

Cash: $19 (124% of Medicare)

Ins. Median: $33 (215% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 215% of the Medicare baseline (a markup of 115%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$11 - $36	72%
Lutheran	$12	78%
Lutheran Network	$13 - $39	85%
Node Devoted Health Mcr Adv	$13	85%
One Call	$14	91%
Self Pay	$15 - $24	98%
Lutheran Preferred Medpartners	$18	117%
Php	$18	117%
Alpha Baking	$20	130%
Magnacare Ma	$22	143%
Php Freedom Network	$26	169%
Encore	$29 - $40	189%
Indiana Dept Of Correction	$29	189%
County Of Laporte	$31	202%
UnitedHealthcare	$32	208%
Cigna	$33	215%
Prime Health Services	$33	215%
Prime Health Services Auto	$33	215%
Ihn	$35	228%
Community Health Alliance	$38	247%
Sagamore Health Network	$39	254%
Chandler Group	$40	260%
Hfn Workers Compensation	$40	260%
Multiplan	$40	260%
Phcs	$40	260%

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 $19.
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 Northwest Health-La Porte 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.