CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: The Women's Hospital

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $17
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at The Women's Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 1.11x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $29 (189%)
Insurance Median: $17 (111%)
Cash: $29 (189% of Medicare)
Ins. Median: $17 (111% 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.

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
Blue Cross Blue Shield $13 - $32 85%
Caresource $13 85%
Caresource Hip $13 85%
Caresource In $13 85%
Humana $13 - $22 85%
Iu Health $13 85%
Mdwise Hip $13 85%
Meridian Health Il $13 - $14 85%
Mhs $13 85%
Mhs Behavioral $13 85%
Molina Il $13 - $14 85%
Molina Ky $13 85%
Molina Ky Dual $13 85%
UnitedHealthcare $13 - $30 85%
Wellcare Ky $13 - $22 85%
Aetna $14 - $46 91%
Ambetter / Centene $15 98%
Immergrun $16 104%
Caresource Marketplace (Just4Me) $17 111%
Encorecombined $17 111%
Encoreprime $17 111%
Patoka Valley Health Care (80/20 Plan) $17 111%
Patoka Valley Health Care (90/10 Plan) $17 111%
Alliance Coal $18 117%
Allied National/Zelis - Freedom Plan $18 117%
Hst $18 117%
Claimdoc $19 124%
One Care $19 124%
Chamber Care $20 130%
Hope Trust $21 137%
Noncontracted $21 137%
Passport Molina Ky $22 143%
Amish $29 189%
Self Pay $29 189%
Cigna $46 299%
Claritev (Formerly Phcs/Mulitplan) $46 299%
First Health/Coventry $46 299%
Healthlink $46 299%
Sagamore $46 299%
Center Care $49 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals