CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Cook Childrens Medical Center

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $216
Cash Discount Price: $340
vs. Medicare Baseline: 14.06x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Cook Childrens Medical Center is $216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $340. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 14.06x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$340

Average discount available for prompt cash payment at this facility.

Insurance Median

$216

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: $340 (2214%)

Insurance Median: $216 (1406%)

Cash: $340 (2214% of Medicare)

Ins. Median: $216 (1406% 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 1406% of the Medicare baseline (a markup of 1306%). 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
Beacon	$60 - $289	391%
Firstcare	$60 - $526	391%
Health Plan W/O Uhrip	$60 - $220	391%
Health Plan W. Uhrip	$83 - $250	540%
Rightcare	$83 - $289	540%
United Community	$87 - $231	566%
Wellpoint	$87 - $231	566%
Blue Cross Blue Shield	$90 - $592	586%
Molina	$92 - $243	599%
El Paso Health First	$109 - $289	710%
Superior Health	$109 - $289	710%
Tx Children Health	$109 - $289	710%
UnitedHealthcare	$109 - $559	710%
Aetna	$120 - $559	781%
S&W Health	$209 - $552	1361%
Cigna	$211 - $559	1374%
Healthscope	$211 - $559	1374%
Imagine Health	$211 - $559	1374%
Humana	$216 - $578	1406%
Multiplan	$216 - $572	1406%
First Health	$219 - $578	1426%
Galaxy Health	$224 - $592	1458%
Healthsmart	$224 - $592	1458%
Usamco	$229 - $605	1491%

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 $340.
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 Cook Childrens Medical Center 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.