CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Mon Health Medical Center

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $415
Cash Discount Price: $225
vs. Medicare Baseline: 27.02x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Mon Health Medical Center is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 27.02x the Medicare baseline. Located in 1200 Jd Anderson Drive, Morgantown, WV.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$415

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: $225 (1465%)

Insurance Median: $415 (2702%)

Cash: $225 (1465% of Medicare)

Ins. Median: $415 (2702% 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 2702% of the Medicare baseline (a markup of 2602%). 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
Unison_Plan	$19	124%
Gateway_Health_Plan	$21	137%
Blue Cross Blue Shield	$287 - $417	1868%
Maryland_Physicians_Care_Plan	$315 - $327	2051%
Aetna	$360 - $373	2344%
The_Health_Plan_Murray_Energy_Commercial_Aso_Plan	$360 - $373	2344%
The_Health_Plan_Plan	$387 - $401	2520%
Acpn_Plan	$405 - $420	2637%
Cigna	$405 - $420	2637%
Humana	$405 - $420	2637%
Mon_County_Commission_Plan	$405 - $420	2637%
Uhc_Plan	$405 - $420	2637%
Health_Payors_Organization_Plan	$414 - $429	2695%
Uhc_Options_Ppo_Plan	$418 - $434	2721%
Multiplan_Phcs_Plan	$427 - $443	2780%
Mutual_Of_Omaha_Plan	$427 - $443	2780%
Geha_Plan	$436 - $453	2839%
Three_Rivers_Plan	$436 - $453	2839%
Uhc_Onenet_Ppo_Plan	$436 - $453	2839%
Upmc__Plan	$436 - $453	2839%

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 $225.
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 Mon Health 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.