Electrocardiogram (ECG/EKG)
Facility: Lutheran Hospital of Indiana
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $34
- Cash Discount Price: $24
- vs. Medicare Baseline: 2.21x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 221% of the Medicare baseline (a markup of 121%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Eval Services | $13 | 85% |
| One Call Care Diagnostics | $14 | 91% |
| Ky Work Comp | $17 - $19 | 111% |
| Physicians Health Plan Of Northern Indiana | $17 - $29 | 111% |
| Amish Aid | $21 - $22 | 137% |
| Lutheran Advanced Network | $21 - $22 | 137% |
| Lutheran Network | $21 - $37 | 137% |
| Lutheran Preferred Network | $21 - $44 | 137% |
| Node Devoted Health Mcr Adv | $21 - $22 | 137% |
| Node Lutheran Network | $21 - $22 | 137% |
| Node Lutheran Preferred Fixed 2 | $21 - $22 | 137% |
| Self Pay | $21 - $27 | 137% |
| Cigna | $22 - $27 | 143% |
| Php Freedom Network | $23 - $25 | 150% |
| Blue Cross Blue Shield | $26 - $27 | 169% |
| Aetna | $28 - $35 | 182% |
| Lutheran Preferred | $28 - $30 | 182% |
| Sagamore | $31 - $40 | 202% |
| Encore Ppo | $34 - $36 | 221% |
| In Dept Of Correction | $45 - $48 | 293% |
| Multiplan | $50 - $61 | 326% |
| Prime Health Services | $52 - $56 | 339% |
| Advantage Health Solutions | $57 - $61 | 371% |
| Encore Health Network | $57 - $67 | 371% |
| Allied Benefit Systems | $62 - $67 | 404% |
| Evolutions | $62 - $67 | 404% |
| Node Encore Kba Epo | $69 - $74 | 449% |
| Node Encore Kba Ppo | $69 - $74 | 449% |