CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Palacios Community Medical Center

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $47
  • Cash Discount Price: $85
  • vs. Medicare Baseline: 3.06x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Palacios Community Medical Center is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 3.06x the Medicare baseline. Located in 311 Green Avenue, Palacios, TX.
Cash / Self-Pay
$85

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $85 (553%)
Insurance Median: $47 (306%)
Cash: $85 (553% of Medicare)
Ins. Median: $47 (306% 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 306% of the Medicare baseline (a markup of 206%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $12 - $102 78%
Community Health Choice $12 - $102 78%
Molina $12 - $102 78%
Aetna $30 - $79 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 311 Green Avenue, Palacios, TX 77465
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals