Electrocardiogram (ECG/EKG)
Facility: Dukes Memorial Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $33
- Cash Discount Price: $36
- vs. Medicare Baseline: 2.15x 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 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.
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 |
|---|---|---|
| Department Of Veterans Affairs | $13 | 85% |
| Tricare | $13 | 85% |
| Veterans Eval Services | $13 | 85% |
| Aetna | $14 - $33 | 91% |
| Blue Cross Blue Shield | $14 - $22 | 91% |
| Humana | $14 | 91% |
| Iu Health Plan | $14 | 91% |
| Managed Health Services | $14 - $28 | 91% |
| Medicare (plans) | $14 | 91% |
| Miami County Sheriffs Department | $14 | 91% |
| Node Pphp Mcr Adv | $14 | 91% |
| Node Va | $14 - $33 | 91% |
| One Call Wc | $14 | 91% |
| UnitedHealthcare | $14 - $34 | 91% |
| Us Department Of Labor | $21 | 137% |
| Align Network | $22 | 143% |
| Lutheran Preferred | $22 - $55 | 143% |
| Encore Work Comp In | $25 | 163% |
| Prime Health Services | $25 - $52 | 163% |
| Partners Direct Health Llc | $26 | 169% |
| Physicians Health Plan | $28 - $32 | 182% |
| Three Rivers Preferred Plus | $28 | 182% |
| Work Comp | $28 | 182% |
| Cigna | $29 - $69 | 189% |
| Three Rivers Preferred | $31 | 202% |
| Php Freedom | $32 | 208% |
| Amish Aid | $34 | 221% |
| Encore Ppo | $34 | 221% |
| Self Pay | $34 - $38 | 221% |
| Node Devoted Health Mcr Adv | $35 | 228% |
| Sagamore Health Network | $38 | 247% |
| Lutheran Advanced Network | $41 | 267% |
| Lutheran Three Rivers Preferred Plus 150 | $41 | 267% |
| Node Lutheran Preferred Fixed 2 | $41 | 267% |
| Consumer Life | $43 | 280% |
| Lutheran Three Rivers Preferred Plus 175 | $45 | 293% |
| Lutheran Northwest Health Preferred | $48 | 313% |
| First Health | $55 | 358% |
| Multiplan | $56 | 365% |
| Advantage Health Solutions | $57 | 371% |
| Encore Health Network | $57 | 371% |
| In Dept Of Correction | $59 | 384% |
| Encore | $62 | 404% |
| Encore Kba Epo | $102 | 664% |
| Encore Kba Ppo | $110 | 716% |