CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Metropolitan Hospital Center

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $98
Cash Discount Price: Unavailable
vs. Medicare Baseline: 6.38x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Metropolitan Hospital Center is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 6.38x the Medicare baseline. Located in 1901 First Avenue, New York, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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%)

Insurance Median: $98 (638%)

Ins. Median: $98 (638% 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 638% of the Medicare baseline (a markup of 538%). 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
Healthfirst	$13 - $143	85%
Aetna	$15 - $257	98%
Wellcare	$18	117%
Fidelis	$24 - $143	156%
Local 1199	$32 - $181	208%
Metroplus	$59 - $143	384%
Amidacare	$63	410%
Blue Cross Blue Shield	$63 - $170	410%
Carelon	$63 - $138	410%
Senior Whole Health	$63	410%
United	$63 - $504	410%
United Behavioral Health	$63 - $70	410%
Affinity	$65 - $143	423%
Carelon (Amida Care)	$65	423%
Vnsny	$65 - $181	423%
Emblem	$95 - $319	618%
Centerlight	$106	690%
Elderplan	$138	898%
Multiplan	$170	1107%
Villagecare Max	$181	1178%
Magnacare	$320	2083%
Oxford	$362 - $410	2357%
Oscar	$614	3997%

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 $X.
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 Metropolitan Hospital 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.