CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Sidney Health Center

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $57
Cash Discount Price: $37
vs. Medicare Baseline: 3.71x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Sidney Health Center is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 3.71x the Medicare baseline. Located in 216 14Th Ave Sw, Sidney, MT.

Cash / Self-Pay

$37

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $37 (241%)

Insurance Median: $57 (371%)

Cash: $37 (241% of Medicare)

Ins. Median: $57 (371% 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 371% of the Medicare baseline (a markup of 271%). 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
UnitedHealthcare	$13 - $57	85%
Aetna	$22 - $57	143%
Allegiance	$23 - $57	150%
Blue Cross Blue Shield	$23 - $60	150%
Cigna	$23 - $57	150%
Employee Benefit Management System	$23 - $57	150%
Mountain Health Co-Op	$25 - $58	163%
Sanford Health Plan	$25 - $57	163%
Pacific Source	$57 - $59	371%

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 $37.
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 Sidney Health Center 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.