CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Indiana Regional Medical Center

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $23
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Indiana Regional Medical Center is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 1.50x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $133 (866%)
Insurance Median: $23 (150%)
Cash: $133 (866% of Medicare)
Ins. Median: $23 (150% 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
Highmark $11 - $16 72%
Aetna $13 - $204 85%
Tricare $13 - $370 85%
Humana $14 91%
Ambetter / Centene $15 - $26 98%
Amerihealth Caritas $15 - $25 98%
Cigna $15 - $185 98%
Geisinger Health Plan $15 - $25 98%
Highmark Wholecare $15 - $185 98%
Medicare (plans) $15 98%
United Mine Workers Of America $15 98%
UnitedHealthcare $15 - $370 98%
Upmc Health Plan $15 - $170 98%
Geisinger $20 130%
Pa Health And Wellness Commercial $20 - $111 130%
Department Of Human Services And Torrance State Hospital $233 1517%
Premier Comp Solutions, Llc $333 2168%
Miscellaneous Commercial $370 2409%
Pa Workers Compensation $370 2409%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals