CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Lehigh Valley Hospital

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $26
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Lehigh Valley Hospital is $26. 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 1.69x the Medicare baseline. Located in 1200 South Cedar Crest Boulevard, Allentown, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $26 (169%)
Ins. Median: $26 (169% 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
Amerihealth $13 - $14 85%
Blue Cross Blue Shield $13 85%
Ibc $13 - $291 85%
UnitedHealthcare $13 - $33 85%
Aetna $14 - $74 91%
Cigna $14 91%
Devoted Health $14 91%
Emblem $14 - $59 91%
Gateway $14 91%
Geisinger $14 - $58 91%
Highmark Blue Shield $14 - $43 91%
Humana $14 91%
Jefferson Health Partners $14 - $27 91%
Upmc $14 - $65 91%
Pa Health & Wellness (Allwell) $15 98%
Amerihealth Caritas $21 - $35 137%
Highmark Wholecare/Gateway $24 156%
Pa Health & Wellness $26 169%
Keystone First $28 182%
Ambetter / Centene $40 260%
Valley Preferred $78 508%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 South Cedar Crest Boulevard, Allentown, PA 18103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals