CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Verde Valley Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $80
  • Cash Discount Price: $171
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Verde Valley Medical Center is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.33x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$171

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $171 (284%)
Insurance Median: $80 (133%)
Cash: $171 (284% of Medicare)
Ins. Median: $80 (133% 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
Devoted $7 - $70 12%
Health Choice $7 - $129 12%
University Of Arizona Health Plans $7 - $73 12%
Va Pccc Triwest $7 - $67 12%
Naphcare $12 - $135 20%
Health Choice Integrated Care $35 58%
Mercy Care Rhba $35 58%
Ahcccs $36 60%
Ahcccs Other $36 60%
Care 1St $36 60%
Health Choice Arizona $36 60%
Health Net Of Arizona $36 60%
Mercy Care $36 60%
Nhi Out Of State Ahcccs $36 60%
UnitedHealthcare $36 - $516 60%
Vvmc Jail $36 60%
Health Net Federal $63 105%
Self Pay $64 - $558 106%
Self-Pay 50% Discount $64 - $279 106%
Aetna $66 - $484 110%
Community Health Center Of Yavapai $66 110%
Humana $66 110%
Medicare (plans) $66 110%
Mercy Care Advantage $66 110%
Snf Vvmc $66 110%
Vvmc 30/70 $66 110%
Wellcare $66 110%
Wellcare By Allwell $66 110%
Blue Cross Blue Shield $74 - $406 123%
Ambetter / Centene $76 126%
Gold Kidney $80 133%
Workers Comp $83 - $363 138%
Copperpoint $93 - $406 154%
Pnoa-Provider Network Of America $101 168%
Cigna $115 - $502 191%
Vvmc 90/10 $115 - $502 191%
Auto Insurance $5,000 8296%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals