CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Gibson General 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 Gibson General 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 1808 Sherman Drive, Princeton, 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
Aetna $13 - $46 85%
Blue Cross Blue Shield $13 - $24 85%
Caresource $13 85%
Caresource Just For Me $13 85%
Mdwise Plans $13 85%
Medicare (plans) $13 85%
Meridiancomplete (Il) $13 85%
Mhs $13 85%
Mytruadvantage $13 85%
UnitedHealthcare $13 - $30 85%
Va Ccn $13 85%
Medicaid / KanCare $14 91%
Meridiancare (Il) $14 91%
Meridianhealth (Il) $14 91%
Ambetter / Centene $16 104%
Caresource In Marketplace $17 111%
Encircle/Encore Combined $17 111%
Encircle/Encore Prime $17 111%
Alliance Coal $18 117%
Claimdoc $18 117%
Deaconess Onecare $19 124%
Hopetrust $19 124%
Hstechnology $19 124%
Noncontracted $21 137%
Ky Racing Health & Welfare Fund $29 189%
Self-Pay $29 189%
Cigna $46 299%
First Health $46 299%
Healthlink Hmo $46 299%
Healthlink Ppo $46 299%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $46 299%
Chambercare $49 319%
Gibson County Sheriff $70 456%
Integrated Health $74 482%
Principal Health Care $74 482%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1808 Sherman Drive, Princeton, IN 47670
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals