CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Artesia General Hospital

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $394
Cash Discount Price: $278
vs. Medicare Baseline: 25.65x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Artesia General Hospital is $394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $278. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 25.65x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$278

Average discount available for prompt cash payment at this facility.

Insurance Median

$394

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: $278 (1810%)

Insurance Median: $394 (2565%)

Cash: $278 (1810% of Medicare)

Ins. Median: $394 (2565% 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 2565% of the Medicare baseline (a markup of 2465%). 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	$116 - $394	755%
Humana	$121	788%
Zelis	$127 - $232	827%
First Health	$179 - $418	1165%
Blue Cross Blue Shield	$278	1810%
New Mexico Health Connections	$278	1810%
Geha	$325 - $371	2116%
Omni Networks	$325	2116%
Three Rivers Provider Network	$348	2266%
Cigna	$394 - $418	2565%
Triwest	$408	2656%
Galaxy Health	$418	2721%
One Health Plan	$418	2721%
Multiplan	$422	2747%
United Payors & United Providers	$432	2813%
Providence Risk & Insurance Services	$441	2871%

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 $278.
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 Artesia General 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.