CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Mercy Hospital Waldron
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $88
- Cash Discount Price: $195
- vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mercy Hospital Waldron is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $195. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.46x the Medicare baseline. Located in 1341 West Sixth Street, Waldron, AR.
Cash / Self-Pay
$195
Average discount available for prompt cash payment at this facility.
Insurance Median
$88
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$60.27
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $60.27 (100%)
Cash / Self-Pay: $195 (324%)
Insurance Median: $88 (146%)
Cash: $195 (324% of Medicare)
Ins. Median: $88 (146% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $60.27 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.
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 | $5 - $195 | 8% |
| Humana | $5 - $255 | 8% |
| Medicaid / KanCare | $5 - $117 | 8% |
| Summit Community Care Contracted [320368] | $17 | 28% |
| Arkansas Total Care Contracted [320039] | $39 | 65% |
| Blue Cross Blue Shield | $75 - $82 | 124% |
| Usable Contracted [320409] | $75 | 124% |
| Tricare | $81 | 134% |
| American Health Advantage Of Mo Mcr [20264] | $82 | 136% |
| Cherokee Nation Health Serv Contracted [320066] | $82 | 136% |
| Cross Timbers Hospice [20098] | $82 | 136% |
| Dept Of Veteran Affairs Contracted [320106] | $82 | 136% |
| Elara Caring Aspire Hospice Contracted [320433] | $82 | 136% |
| Elara Caring Aspire Hospice [20433] | $82 | 136% |
| Globalhealth Contracted [320145] | $82 | 136% |
| Halo Hcr Inc Hospice Contracted [320432] | $82 | 136% |
| Halo Hcr Inc Hospice [20432] | $82 | 136% |
| Independent Health [20197] | $82 | 136% |
| Indian Health Service Contracted [320198] | $82 | 136% |
| Indian Health Service [20198] | $82 | 136% |
| Jordan Valley Senior Care Pace [20515] | $82 | 136% |
| Kindful Hospice Contracted [320434] | $82 | 136% |
| Kindful Hospice [20434] | $82 | 136% |
| Medical Associates Health [20444] | $82 | 136% |
| Medicare (plans) | $82 - $87 | 136% |
| Mercy Hospice Okc [20252] | $82 | 136% |
| Pace Of The Ozarks [20518] | $82 | 136% |
| Provider Partners Health Plans Contracted [320450] | $82 | 136% |
| Qual Choice Contracted [320325] | $82 | 136% |
| Spina Bifida Hlthcare Benefit [20506] | $82 | 136% |
| UnitedHealthcare | $82 - $486 | 136% |
| Valir Pace [20503] | $82 | 136% |
| Cigna | $87 - $255 | 144% |
| Qual Choice Contracted [320324] | $90 | 149% |
| Ambetter / Centene | $117 | 194% |
| Home State Health Plan Contracted [320187] | $117 | 194% |
| Novasys Contracted [320285] | $117 - $210 | 194% |
| Mercy Interfacility [20513] | $134 | 222% |
| Auxiant Contracted [320462] | $180 - $270 | 299% |
| Mercy Benefit Admin Contracted [320251] | $180 - $270 | 299% |
| Workers Comp [20426] | $195 | 324% |
| 90 Degree Benefits Contracted [320436] | $255 | 423% |
| Aither Health Contracted [320449] | $255 | 423% |
| Ebms Contracted [320493] | $255 | 423% |
| Edison Health Solutions Contracted [320502] | $255 | 423% |
| Healthlink Contracted [320179] | $255 - $270 | 423% |
| Imagine 360 Contracted [320494] | $255 | 423% |
| Multiplan Contracted [320270] | $255 | 423% |
| Multiplan [20270] | $255 | 423% |
| Municipal Health Plan Contracted [320271] | $255 | 423% |
| Reflect Health Contracted [320492] | $255 | 423% |
| Show-Me Health Administrators Contracted [320483] | $255 | 423% |
| Federal Medical Center Contracted [320127] | $270 | 448% |
| Healthscope Contracted [320182] | $270 | 448% |
| Insurance System Inc Contracted [320465] | $270 | 448% |
| Personify Health Contracted [320051] | $270 | 448% |
| Point C Contracted [320238] | $270 | 448% |
| Preferred Health Plan Contracted [320522] | $270 | 448% |
| Tri State Healthcare Coalition Contracted [320379] | $270 | 448% |
| United Medical Resources Contracted [320454] | $486 | 806% |