CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Cayuga Medical Center at Ithaca

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $187
Cash Discount Price: $48
vs. Medicare Baseline: 12.17x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Cayuga Medical Center at Ithaca is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 12.17x the Medicare baseline. Located in 101 Dates Drive, Ithaca, NY.

Cash / Self-Pay

$48

Average discount available for prompt cash payment at this facility.

Insurance Median

$187

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: $48 (313%)

Insurance Median: $187 (1217%)

Cash: $48 (313% of Medicare)

Ins. Median: $187 (1217% 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 1217% of the Medicare baseline (a markup of 1117%). 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
Fidelis	$15	98%
Molina	$15 - $34	98%
Aetna	$120 - $185	781%
Excellus	$188	1224%
Cigna	$201	1309%
UnitedHealthcare	$220	1432%
Emblem Health	$225	1465%
Independent Health	$232	1510%
Wellcare	$246	1602%
Martins Point	$249	1621%

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 $48.
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 Cayuga Medical Center at Ithaca 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.