CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Canyon Vista Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $71
  • Cash Discount Price: $115
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Canyon Vista Medical Center is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.18x the Medicare baseline. Located in 5700 East Highway 90, Sierra Vista, AZ.
Cash / Self-Pay
$115

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $115 (191%)
Insurance Median: $71 (118%)
Cash: $115 (191% of Medicare)
Ins. Median: $71 (118% 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
Meritain Health $6 10%
Golden Rule Insurance Company $30 50%
University Phyicians Inc $34 56%
Arizona Physicians Ipa Inc $36 60%
Azch-Complete Care Plan $36 60%
Medicare (plans) $56 93%
Veteran Family Member Program $61 101%
Wellmed Medical Management, Inc. $65 108%
Wellcare By Allwell $68 113%
Aetna $69 114%
UnitedHealthcare $70 - $108 116%
Humana $71 - $136 118%
Ambetter / Centene $85 141%
Government Employees Health Association $108 179%
Summit Administration Services-Icl 1144 $129 214%
Cigna $148 246%
Luminare Health $148 246%
Blue Cross Blue Shield $161 267%
Summit Administrators, Inc. $4,436 7360%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5700 East Highway 90, Sierra Vista, AZ 85635
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals