CMS Price Transparency Data
Electrocardiogram (ECG/EKG)
Facility: Saint Joseph Regional Medical Center
Billing Code: 93000 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93000
- Insurance Median: $14
- Cash Discount Price: $34
- vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Saint Joseph Regional Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 0.91x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$34
Average discount available for prompt cash payment at this facility.
Insurance Median
$14
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: $34 (221%)
Insurance Median: $14 (91%)
Cash: $34 (221% of Medicare)
Ins. Median: $14 (91% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $9 - $36 | 59% |
| Aetna | $13 - $16 | 85% |
| Albany County Correctional Facility | $13 | 85% |
| Ambetter / Centene | $13 | 85% |
| Amish Mennonite | $13 | 85% |
| Ascension St. Vincent Public Safety Medical | $13 | 85% |
| Bcccp-Michigan | $13 | 85% |
| Bccp | $13 | 85% |
| Blue Cross Blue Shield | $13 - $29 | 85% |
| Bmc Healthnet | $13 | 85% |
| Breast Grant-Connecticut | $13 | 85% |
| Broward County Dept Of Health | $13 | 85% |
| California Health And Wellness | $13 | 85% |
| Cardinal Innovations Lme | $13 | 85% |
| Care Connections Of Northern Iowa | $13 | 85% |
| Care Oregon Ohp | $13 | 85% |
| Cencal Health Plan | $13 | 85% |
| Cenpatico | $13 | 85% |
| Champva | $13 | 85% |
| Chhuny | $13 | 85% |
| Childrens Comm Health Plan | $13 | 85% |
| Childrens Medical Services Title 19 | $13 | 85% |
| Cigna | $13 - $31 | 85% |
| City Of Philadelphia | $13 | 85% |
| Cmh Allegan County | $13 | 85% |
| Cmh Ausable Valley | $13 | 85% |
| Cmh Barry County | $13 | 85% |
| Cmh Bay-Arenac County | $13 | 85% |
| Cmh Berrien County | $13 | 85% |
| Cmh Cass County | $13 | 85% |
| Cmh Central Mi County | $13 | 85% |
| Cmh Clinton-Eaton-Ingham County | $13 | 85% |
| Cmh Detroit Wayne Integrated Health Network | $13 | 85% |
| Cmh Genesee County | $13 | 85% |
| Cmh Ionia County | $13 | 85% |
| Cmh Jackson County/Lifeways | $13 | 85% |
| Cmh Kalamazoo | $13 | 85% |
| Cmh Kent County | $13 | 85% |
| Cmh Lenawee County | $13 | 85% |
| Cmh Livingston County | $13 | 85% |
| Cmh Macomb | $13 | 85% |
| Cmh Misc | $13 | 85% |
| Cmh Monroe County | $13 | 85% |
| Cmh Montcalm County | $13 | 85% |
| Cmh Muskegon County | $13 | 85% |
| Cmh Newaygo County | $13 | 85% |
| Cmh North Country | $13 | 85% |
| Cmh Northern Lakes County | $13 | 85% |
| Cmh Oakland County | $13 | 85% |
| Cmh Ottawa County | $13 | 85% |
| Cmh Van Buren County | $13 | 85% |
| Cmh Washtenaw County | $13 | 85% |
| Cmh Wayne County/Carelink | $13 | 85% |
| Cmh Wayne Cty/Com Liv Svcs | $13 | 85% |
| Cmh West Mi County | $13 | 85% |
| Community Benefit Health | $13 | 85% |
| Community Care Behavorial Health | $13 | 85% |
| Community Care Partners | $13 | 85% |
| Community Health Choice | $13 | 85% |
| Connections Csp | $13 | 85% |
| County Coroner | $13 | 85% |
| County Funding Generic | $13 | 85% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $13 | 85% |
| Dean Wi Badgercare | $13 | 85% |
| Delaware County Department Of Health | $13 | 85% |
| Delaware First Health | $13 | 85% |
| Delta Dental Nj | $13 | 85% |
| Dph Tb Program | $13 | 85% |
| Dscc | $13 | 85% |
| Eastpointe Lme | $13 | 85% |
| Family Health Network | $13 | 85% |
| Freedom First Healthcare | $13 | 85% |
| Fresno County Ccs | $13 | 85% |
| Ghc Scw Wi Badgercare | $13 | 85% |
| Harbor Health | $13 | 85% |
| Health Safety Net | $13 | 85% |
| Healthy Blue Ne | $13 | 85% |
| Hennepin Health | $13 | 85% |
| Humana | $13 - $14 | 85% |
| Id County Ada | $13 | 85% |
| Id County Canyon | $13 | 85% |
| Id County Cat Fund | $13 | 85% |
| Id County Other | $13 | 85% |
| Id County Payette | $13 | 85% |
| Idaho Dept Health And Wellfare | $13 | 85% |
| Idaho Womens Health Check | $13 | 85% |
| Indiana Breast Cervical Cancer | $13 | 85% |
| Inland Empire Health Plan | $13 | 85% |
| Intercommunity Health Ohp | $13 | 85% |
| Iowa Total Care | $13 | 85% |
| Jai Medical System | $13 | 85% |
| Kern Family Health Plan | $13 | 85% |
| Keystone First | $13 | 85% |
| Keystone First Chip | $13 | 85% |
| La Care Health Plan | $13 | 85% |
| Lakeland Care Inc | $13 | 85% |
| Managed Health Services - Indiana | $13 | 85% |
| Maryland Breast & Cervical Program | $13 | 85% |
| Maryland Healthy Smiles - Scion Dental | $13 | 85% |
| Maryland Physicians Care | $13 | 85% |
| Massachusetts Behavioral Health Partnership | $13 | 85% |
| Mdwise | $13 | 85% |
| Medi-Cal | $13 | 85% |
| Medi-Cal Healthnet | $13 | 85% |
| Medstar Dc Healthy Family | $13 | 85% |
| Medstar Md Health Choice | $13 | 85% |
| Mo Home State Health Plan | $13 | 85% |
| Molina Centennial Care | $13 | 85% |
| Nascentia Health Options | $13 | 85% |
| Nebraska Total Care | $13 | 85% |
| New York Cancer Services Program | $13 | 85% |
| Nextlevel Health | $13 | 85% |
| Oregon Screenwise | $13 | 85% |
| Pace Of Southwest Michigan | $13 - $14 | 85% |
| Paramount Advantage | $13 | 85% |
| Parkland Community Health Plan | $13 | 85% |
| Partners Behavioral Lme | $13 | 85% |
| Peach State Healthplan | $13 | 85% |
| Philadelphia County Funding | $13 | 85% |
| Presbyterian Centennial Care | $13 | 85% |
| Prestige Health Choice | $13 | 85% |
| Priority Partners | $13 | 85% |
| Robert F Sing Program | $13 | 85% |
| Rx 340B Pass Along | $13 | 85% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $13 | 85% |
| Rx Medi-Cal | $13 | 85% |
| Rx Meridian Rx | $13 | 85% |
| Ryan White Florida Mssrp | $13 | 85% |
| Sandhills Center Lme | $13 | 85% |
| Screening For Life | $13 | 85% |
| St Joseph County Hlth Dpt | $13 | 85% |
| Stephenson Cty Health | $13 | 85% |
| Sunshine State Health Plan | $13 | 85% |
| Superior Health | $13 | 85% |
| Tenncare | $13 | 85% |
| Texas Children'S Health Plan | $13 | 85% |
| Tricare | $13 | 85% |
| Trillium Community Ohp | $13 | 85% |
| Triwest Health Alliance | $13 | 85% |
| Tufts Health Public Plans | $13 | 85% |
| UnitedHealthcare | $13 - $27 | 85% |
| Us Family Health Plan | $13 | 85% |
| Vaya Health Lme | $13 | 85% |
| Veterans Eval Services | $13 | 85% |
| Washtenaw Health Plan | $13 | 85% |
| Wellsense Health Plan | $13 | 85% |
| Wi Womens Wellness | $13 | 85% |
| Align Senior Care | $14 | 91% |
| Ally Align Care Adv | $14 | 91% |
| American Health Advantage Of Idaho | $14 | 91% |
| American Health Plan | $14 | 91% |
| Andrie Inc | $14 | 91% |
| Aurora Special Needs | $14 | 91% |
| Blue Care Network Advantage | $14 | 91% |
| Blue Shield - De (Highmark) Medciare Advantage | $14 | 91% |
| Care Dimensions | $14 | 91% |
| Care Improvement Plus | $14 | 91% |
| Care Resources Pace | $14 | 91% |
| Careplus Health Plans | $14 | 91% |
| Cca - Zing Health | $14 | 91% |
| Cca Senior Care Options | $14 | 91% |
| Central Valley Medical Services Corp Pace | $14 | 91% |
| Champion Health Plan Mcr Advantage | $14 | 91% |
| Clear Spring Health | $14 | 91% |
| Clover Health | $14 | 91% |
| Commonwealth Care Alliance | $14 | 91% |
| Community Pace At Home | $14 | 91% |
| East Greenbush Central School District | $14 | 91% |
| Eddy Senior Care-Pace | $14 | 91% |
| Eddy Seniorcare Pace | $14 | 91% |
| Elementcare | $14 | 91% |
| Evercare | $14 | 91% |
| Everence | $14 | 91% |
| Gateway Health Plan | $14 | 91% |
| Genesys Pace Of Genesee County | $14 | 91% |
| Genex Wc | $14 | 91% |
| Georgia Health Advantage | $14 | 91% |
| Gold Advantage | $14 | 91% |
| Gpa Croell Redi Mix | $14 | 91% |
| Health America Advantra | $14 | 91% |
| Healthsmart Workers Comp | $14 | 91% |
| Highmark Health Options Dual Plan | $14 | 91% |
| Hope Select Pace | $14 | 91% |
| Horizon Nj Total Care | $14 | 91% |
| Hudson Headwaters Pace | $14 | 91% |
| Huron Valley Pace | $14 | 91% |
| Innovative Integrated Health Community Plans | $14 | 91% |
| Iowa Health Advantage | $14 | 91% |
| Jag Source | $14 | 91% |
| Johns Hopkins Advantage Md | $14 | 91% |
| Lasso Healthcare Msa | $14 | 91% |
| Life St Marys Pace | $14 | 91% |
| Lifecircles Pace | $14 | 91% |
| Longevity Health Plan | $14 | 91% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $14 | 91% |
| Martins Point Generations Advantage | $14 | 91% |
| Mass General Brigham Mcr Adv | $14 | 91% |
| Medicare (plans) | $14 - $15 | 91% |
| Medipak Advantage | $14 | 91% |
| Mercy Life | $14 | 91% |
| Mercyone Cedar Valley | $14 | 91% |
| Meridian Complete | $14 | 91% |
| Michigan Complete Health | $14 | 91% |
| Nascentia Health Plus | $14 | 91% |
| New Centry Health Careplus | $14 | 91% |
| New York State Insurance Fund | $14 | 91% |
| Njm Insurance Group | $14 | 91% |
| Osu Prime Care Advantage | $14 | 91% |
| Pace Cny | $14 | 91% |
| Pace Iowa Immanuel Pathways | $14 | 91% |
| Pace Southeast | $14 | 91% |
| Pace-Trinity Health | $14 | 91% |
| Peak Pace Solutions | $14 | 91% |
| Perennial Advantage | $14 | 91% |
| Preferred Care Partners | $14 | 91% |
| Presbyterian Senior Plan | $14 | 91% |
| Provider Partners Health Plan Of Illinois | $14 | 91% |
| Pruitthealth Premier | $14 | 91% |
| Reliance Community Care Partners Care Resources Pace | $14 | 91% |
| Rx Allwin | $14 | 91% |
| Rx Grane Grnmedd | $14 | 91% |
| Rx Heatlhcomp | $14 | 91% |
| Rx Restat | $14 | 91% |
| Rx Retiree Rx Care | $14 | 91% |
| Rx Saif Opdp Wc | $14 | 91% |
| Rx Worker'S Comp | $14 | 91% |
| Scan Health Plan Mcr Ipa Meritage Oon | $14 | 91% |
| Secure Horizons Ma Pffs | $14 | 91% |
| Serenity Pace | $14 | 91% |
| Siouxland Pace | $14 | 91% |
| Solis Health Plans | $14 | 91% |
| Sunnyview-Pace Finance Dept | $14 | 91% |
| Texan Plus | $14 | 91% |
| The Health Plan | $14 | 91% |
| Thome Pace | $14 | 91% |
| Todays Options | $14 | 91% |
| Tribute Health Plans | $14 | 91% |
| Um Health Advantage | $14 | 91% |
| Union Health Service | $14 | 91% |
| Veterans Administration | $14 | 91% |
| Wc Accident Fund | $14 | 91% |
| Wc Ace | $14 | 91% |
| Wc Acs Federal Employees | $14 | 91% |
| Wc Acuity | $14 | 91% |
| Wc Advantage | $14 | 91% |
| Wc Aegis | $14 | 91% |
| Wc Aig | $14 | 91% |
| Wc Aims | $14 | 91% |
| Wc Alaska National Ins | $14 | 91% |
| Wc Align Network | $14 | 91% |
| Wc Allied | $14 | 91% |
| Wc Am Trust N America | $14 | 91% |
| Wc American Claims Mgmt | $14 | 91% |
| Wc Amerisure | $14 | 91% |
| Wc Amtrust | $14 | 91% |
| Wc Asu Risk Mgt | $14 | 91% |
| Wc Benetech | $14 | 91% |
| Wc Berkley Admin | $14 | 91% |
| Wc Broadspire | $14 | 91% |
| Wc Broward County | $14 | 91% |
| Wc Bunch & Associates | $14 | 91% |
| Wc California State Comp Ins | $14 | 91% |
| Wc California State Ins Fund | $14 | 91% |
| Wc Capitol Area Health Consortium | $14 | 91% |
| Wc Ccmsi | $14 | 91% |
| Wc Chartis | $14 | 91% |
| Wc Chubb | $14 | 91% |
| Wc Cirma | $14 | 91% |
| Wc City Of Albany | $14 | 91% |
| Wc City Of Sioux City | $14 | 91% |
| Wc Claims Mgmt Inc | $14 | 91% |
| Wc Cna | $14 | 91% |
| Wc Comp One Admin C/O Manageability | $14 | 91% |
| Wc Compone Admin | $14 | 91% |
| Wc Corvel | $14 | 91% |
| Wc Ct Healthcare Trust | $14 | 91% |
| Wc Donegal Insurance Group | $14 | 91% |
| Wc Emc Insurance Company | $14 | 91% |
| Wc Employee Mutual | $14 | 91% |
| Wc Enablecomp | $14 | 91% |
| Wc Erie | $14 | 91% |
| Wc Esis | $14 | 91% |
| Wc Evolutions | $14 | 91% |
| Wc Fcci | $14 | 91% |
| Wc Fed Ex | $14 | 91% |
| Wc Federal Black Lung | $14 | 91% |
| Wc Federated | $14 | 91% |
| Wc Finley Occupational Health | $14 | 91% |
| Wc First Agency/Occunet | $14 | 91% |
| Wc Ford Motor | $14 | 91% |
| Wc Fresno Unified Emp | $14 | 91% |
| Wc Gallagher Bassett | $14 | 91% |
| Wc General Motors | $14 | 91% |
| Wc Generic | $14 | 91% |
| Wc Genex Care For Ohio | $14 | 91% |
| Wc Great West Casualty | $14 | 91% |
| Wc Guarantee Insurance | $14 | 91% |
| Wc Guard Insurance Company | $14 | 91% |
| Wc Hab | $14 | 91% |
| Wc Hartford | $14 | 91% |
| Wc Hastings | $14 | 91% |
| Wc Health Management | $14 | 91% |
| Wc Heritage Summit | $14 | 91% |
| Wc Hireright | $14 | 91% |
| Wc Horizon | $14 | 91% |
| Wc Icw Group | $14 | 91% |
| Wc Idaho State Ins Fund | $14 | 91% |
| Wc Intercare Insurance | $14 | 91% |
| Wc Intermountain | $14 | 91% |
| Wc Johns Eastern | $14 | 91% |
| Wc Kemberton | $14 | 91% |
| Wc Key Ins & Benefit Solutions | $14 | 91% |
| Wc Liberty Mutual | $14 | 91% |
| Wc Mac Risk Management | $14 | 91% |
| Wc Massachusetts | $14 | 91% |
| Wc Mdia | $14 | 91% |
| Wc Meadowbrook Claim | $14 | 91% |
| Wc Medical Administrators | $14 | 91% |
| Wc Meijers | $14 | 91% |
| Wc Memic | $14 | 91% |
| Wc Mercy Workcare | $14 | 91% |
| Wc Michigan | $14 | 91% |
| Wc Michigan Millers Mutual | $14 | 91% |
| Wc Mitchell Frankenmuth | $14 | 91% |
| Wc Mra | $14 | 91% |
| Wc Nationwide | $14 | 91% |
| Wc Nca Comp | $14 | 91% |
| Wc New York | $14 | 91% |
| Wc New York Special Funds | $14 | 91% |
| Wc North American Rishces | $14 | 91% |
| Wc Northeast Health | $14 | 91% |
| Wc Notre Dame | $14 | 91% |
| Wc Novanet | $14 | 91% |
| Wc O'Hara Corp | $14 | 91% |
| Wc Occ Health Allen | $14 | 91% |
| Wc Ohio Bureau | $14 | 91% |
| Wc One Call Medical | $14 | 91% |
| Wc Paradigm | $14 | 91% |
| Wc Peerless | $14 | 91% |
| Wc Pma | $14 | 91% |
| Wc Praxis Health Network | $14 | 91% |
| Wc Price Chopper | $14 | 91% |
| Wc Procura Management | $14 | 91% |
| Wc Qualcare | $14 | 91% |
| Wc Quiktrip | $14 | 91% |
| Wc Reny Company | $14 | 91% |
| Wc Rev Claims | $14 | 91% |
| Wc Risico | $14 | 91% |
| Wc Rural Mutual | $14 | 91% |
| Wc Saif Oregon | $14 | 91% |
| Wc Secura | $14 | 91% |
| Wc Sedgwick | $14 | 91% |
| Wc Sentry | $14 | 91% |
| Wc Sheakley Unicomp | $14 | 91% |
| Wc Smile Lodge | $14 | 91% |
| Wc Society | $14 | 91% |
| Wc Srs | $14 | 91% |
| Wc Taconic (Mro) | $14 | 91% |
| Wc Taconic Farms | $14 | 91% |
| Wc Travelers | $14 | 91% |
| Wc Triad Group | $14 | 91% |
| Wc Tristar | $14 | 91% |
| Wc Troy Ny | $14 | 91% |
| Wc Tyson | $14 | 91% |
| Wc Unified Health Services | $14 | 91% |
| Wc United Heartland | $14 | 91% |
| Wc Us Dept Of Labor | $14 | 91% |
| Wc Velocity | $14 | 91% |
| Wc Walmart | $14 | 91% |
| Wc West Bend | $14 | 91% |
| Wc West Bend Mutual/Argent | $14 | 91% |
| Wc Winnebago Industries | $14 | 91% |
| Wc Yankee Trails | $14 | 91% |
| Wc York Risk | $14 | 91% |
| Wc Zenith | $14 | 91% |
| Wc Zurich | $14 | 91% |
| Welbe Health | $14 | 91% |
| Wellmed | $14 | 91% |
| Christian Brother Services | $16 | 104% |
| Meritain | $16 | 104% |
| Preferred One | $16 | 104% |
| Provider Partners Health Plan Of Indiana | $16 | 104% |
| Ameriben | $19 - $22 | 124% |
| Caresource | $19 | 124% |
| Geha | $27 | 176% |
| Allied Benefit Systems | $29 | 189% |
| Auxiant | $29 - $31 | 189% |
| Bcn Domestic | $29 | 189% |
| Benefit Administrative Systems,Llc | $29 | 189% |
| Blue Benefit Administrators Of Massachusetts | $29 | 189% |
| Blue Care Network | $29 | 189% |
| Blue Distinction Transplant | $29 | 189% |
| Blue Shield - Ca | $29 | 189% |
| Blue Shield - Id (Regence) | $29 | 189% |
| Blue Shield - Ny Highmark Northeastern | $29 | 189% |
| Blue Shield - Ny Highmark Western | $29 | 189% |
| Blue Shield - Pa (Highmark) | $29 | 189% |
| Blue Shield - Wa (Regence) | $29 | 189% |
| Custom Design Benefits | $29 | 189% |
| Encore Health | $29 - $31 | 189% |
| Health Choices | $29 | 189% |
| Kaiser Domestic | $29 | 189% |
| Key Benefit Administrator | $29 | 189% |
| Luminare Health (Detroit) | $29 | 189% |
| Phcs | $29 - $32 | 189% |
| Physicians Health Plan Northern Indiana Health Insurance | $29 | 189% |
| Pre-Employment | $29 | 189% |
| Wc Domestic | $29 | 189% |
| Sagamore Health Network | $31 | 202% |
| Signature Care | $31 | 202% |
| Community Health Alliance | $32 - $33 | 208% |
| Plain Church Group | $32 - $36 | 208% |
| Wc Encore Health Network | $32 - $33 | 208% |