CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Adventist Health Tillamook

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $36
Cash Discount Price: $23
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Adventist Health Tillamook is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 2.34x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$23

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $23 (150%)

Insurance Median: $36 (234%)

Cash: $23 (150% of Medicare)

Ins. Median: $36 (234% 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 234% of the Medicare baseline (a markup of 134%). 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
Aetna	$15 - $42	98%
Moda Health Plan - All Plans	$15 - $20	98%
Devoted Health	$16 - $21	104%
Medicare (plans)	$16 - $20	104%
Sterling Life - All Plans	$16 - $21	104%
Blue Cross Blue Shield	$17 - $65	111%
Hvhs Mcare - All Plans	$18 - $20	117%
Lifewise - All Plans	$30 - $68	195%
Ah Employee Health Plan - All Plans	$31 - $70	202%
First Choice Health- All Plans	$31 - $70	202%
Health Net - All Plans	$31 - $70	202%
Providence Preferred - All Plans	$32 - $74	208%
UnitedHealthcare	$32 - $40	208%
Workers Comp	$33 - $75	215%
Ods Health Plan - All Other Plans	$36 - $41	234%
Cigna	$40	260%
Pacificsource - All Plans	$40 - $42	260%
Phcs Preferred - All Plans	$40	260%

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 $23.
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 Adventist Health Tillamook 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.