CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Charleston Area Medical Center

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $36
Cash Discount Price: $263
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Charleston Area Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 2.34x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$263

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $263 (1712%)

Insurance Median: $36 (234%)

Cash: $263 (1712% of Medicare)

Ins. Median: $36 (234% 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 234% of the Medicare baseline (a markup of 134%). 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
Aetna	$11 - $470	72%
The Health Plan Of West Virginia Inc.	$11 - $466	72%
Unicare Health Plan Of West Virginia Inc.	$11 - $12	72%
Blue Cross Blue Shield	$14 - $438	91%
Choicecare Network	$14 - $470	91%
Optimum Choice Inc.	$14 - $16	91%
Triwest Va	$14 - $116	91%
UnitedHealthcare	$14 - $470	91%
West Virginia Senior Advantage Inc.	$15 - $126	98%
City Of Charleston	$19 - $360	124%
Naphcare	$20 - $240	130%
Integrated Medical Solutions	$21 - $234	137%
Caresource	$22 - $300	143%
Tricare	$28 - $288	182%
Healthsmart	$45 - $470	293%
Multiplan	$45 - $470	293%
Three Rivers Providers Network	$45 - $466	293%
Cigna	$46 - $446	299%

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 $263.
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 Charleston Area 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.