CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: St Charles Hospital

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $15
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at St Charles Hospital is $15. 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 0.98x the Medicare baseline. Located in 200 Belle Terre Road, Port Jefferson, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $15 (98%)
Ins. Median: $15 (98% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Affinity Health Plan $15 - $34 98%
Beacon Health Options $15 98%
Beacon Health Strategies $15 - $18 98%
Centerlight Healthcare $15 98%
Elderplan Inc. $15 98%
Emblem Health $15 - $18 98%
Fidelis Care New York $15 - $34 98%
Health First $15 - $34 98%
Health Plus $15 - $34 98%
Independent Health $15 98%
Medicaid / KanCare $15 98%
Mvp Health Plans $15 98%
Senior Whole Health $15 98%
UnitedHealthcare $15 - $61 98%
Zadroga $25 163%
Blue Cross Blue Shield $47 - $61 306%
Self Pay $61 397%
Local 1199 $128 833%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Belle Terre Road, Port Jefferson, NY 11777
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals