CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $124
Cash Discount Price: $124
vs. Medicare Baseline: 8.07x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at UMass Memorial Healthalliance Hospitals is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 8.07x the Medicare baseline. Located in 60 Hospital Road, Leominster, MA.

Cash / Self-Pay

$124

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $124 (807%)

Insurance Median: $124 (807%)

Cash: $124 (807% of Medicare)

Ins. Median: $124 (807% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 807% of the Medicare baseline (a markup of 707%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Workers Compensation [20501]	$41	267%
UnitedHealthcare	$42 - $124	273%
Blue Cross Blue Shield	$47	306%
Tufts Connectorcare [10507]	$59	384%
Medicaid / KanCare	$64	417%
Institution [10406]	$66	430%
Tufts [11201]	$68	443%
Hne [11108]	$69	449%
Cigna	$75 - $117	488%
Aetna	$81 - $124	527%
Wellpoint [11112]	$91	592%
First Health Network [11120]	$93	605%
Multiplan [11109]	$93	605%
Harvard Pilgrim [10701]	$116 - $140	755%
Commonwealth Care Mcr [10115]	$124	807%
Connecticare [11105]	$124	807%
Correctional Care [11003]	$124	807%
Fallon Carelon Hlth [28]	$124	807%
Fallon Mcaid Carelon Hlth [29]	$124	807%
Grants [20507]	$124	807%
Harvard Pilgrim Mcr [10106]	$124	807%
Medicare (plans)	$124	807%
Mgb Mcr [10124]	$124	807%
Senior Whole Health [10110]	$124	807%
Tufts Dual [10111]	$124	807%
Tufts Mcr [10112]	$124	807%
Tufts Us Family [11203]	$124	807%
Hsno/Free Care [10801]	$294	1914%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $124.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93000.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UMass Memorial Healthalliance Hospitals is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93000.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.