CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $16
Cash Discount Price: $105
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Univ. of Vermont - Fletcher Allen Health Care is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 1.04x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$16

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: $105 (684%)

Insurance Median: $16 (104%)

Cash: $105 (684% of Medicare)

Ins. Median: $16 (104% 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.

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
UnitedHealthcare	$9 - $64	59%
Mvp	$12 - $52	78%
Aetna	$14	91%
Blue Cross Blue Shield	$14 - $80	91%
Capital District Physicians' Health Plan	$14 - $27	91%
Humana	$14	91%
Martins Point	$14	91%
St. Regis	$14	91%
Veterans Affairs Community Care Network	$14	91%
Fidelis Care	$16	104%
Wellpath	$19 - $58	124%
Cigna	$52	339%
Ebpa	$81	527%
Harvard Pilgrim	$84	547%
Magnacare	$84	547%
Coventry	$89	579%
Nppn	$94	612%

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 $105.
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 Univ. of Vermont - Fletcher Allen Health Care 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.