CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: The Children's Mercy Hospital

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $33
Cash Discount Price: $27
vs. Medicare Baseline: 2.15x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at The Children's Mercy Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 2.15x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$27

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $27 (176%)

Insurance Median: $33 (215%)

Cash: $27 (176% of Medicare)

Ins. Median: $33 (215% 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 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.

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
Wppa Providrs Care	$16	104%
Health Midwest Comprehensive Care	$19	124%
American Healthcare Alliance	$20	130%
Healthlink	$20	130%
UnitedHealthcare	$21 - $31	137%
Healthy Blue	$23 - $27	150%
Home State Health	$23	150%
Wellfit/Centrus	$26	169%
Centivo	$27	176%
Medicaid / KanCare	$27	176%
Quiktrip	$28	182%
Humana	$31	202%
Nebraska Furniture Mart	$31	202%
Orscheln	$31	202%
Medica	$33	215%
Aetna	$36 - $48	234%
Blue Cross Blue Shield	$37 - $47	241%
Coxhealth Network	$42	273%
Mercy Health	$42	273%
Cigna	$44	286%
Multiplan	$45	293%
Coventry Health Care Of Kansas	$46	299%
National Preferred Provider Network	$50	326%

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 $27.
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 The Children's Mercy Hospital 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.