CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Seattle Children's Hospital

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $9
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.59x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Seattle Children's Hospital is $9. 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 0.59x the Medicare baseline. Located in 4800 Sand Point Way Ne, Po Box C-5371, Seattle, WA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $9 (59%)

Ins. Median: $9 (59% 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
Child Hearing League [17301]	$8	52%
Hospice [17306]	$8	52%
Maple Lane School [17309]	$8	52%
Medicaid / KanCare	$8	52%
Chpw [15802]	$9	59%
Coordinated Care [15815]	$9	59%
Icw Wellpoint [15822]	$9	59%
Kaiser [15818]	$9	59%
Molina [15809]	$9	59%
Opticare [15895]	$9	59%
Ubh Community & State [15819]	$9	59%
UnitedHealthcare	$9	59%
Wellpoint [15814]	$9	59%
Eye Quest [15894]	$10	65%
Claritev [12299]	$43	280%
Ebms [12241]	$43	280%
Health Alliance [12266]	$43	280%
Humana	$43	280%
Key Benefit Admin [12276]	$43	280%
Medical Mutual [12233]	$43	280%
Meritain [12251]	$43	280%
Moda [12842]	$43	280%
Nippon Life Insurance [12232]	$43	280%
Pehp [12235]	$43	280%
Preferredone Admin Services [12236]	$43	280%
Select Health [12277]	$43	280%

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 $X.
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 Seattle Children's Hospital 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.