CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Northwest Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $65
  • Cash Discount Price: $287
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Northwest Medical Center is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $287. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.08x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$287

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $287 (476%)
Insurance Median: $65 (108%)
Cash: $287 (476% of Medicare)
Ins. Median: $65 (108% 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 $8 - $431 13%
Medicaid / KanCare $26 - $28 43%
Magellan $27 - $65 45%
Blue Cross Blue Shield $59 - $144 98%
Veterans Eval Services $59 98%
Cigna $62 - $287 103%
Humana $62 103%
Medicare (plans) $62 103%
Node Caremore Mcr Adv $62 103%
Pascua Yaqui Tribe $62 103%
Scan Health Plan $62 103%
UnitedHealthcare $62 - $478 103%
Department Of Veterans Affairs $63 105%
Fresenius Health $63 105%
Node Non Par Hospice Agree $63 105%
Node Va $63 105%
Tricare $63 105%
Triwest $63 105%
Node Clover Health Mcr Adv $64 106%
Node Devoted Health Mcr Adv $64 106%
Node Banner Mcr Adv $65 108%
Wellcare $65 108%
Node Us Dept Of Labor $79 131%
Ambetter / Centene $89 148%
Node Health Choice Health Exchange $93 154%
Health Net $100 166%
Node Fusion Network $113 187%
Node J Allen Inmate Health Svcs $120 199%
Seven Corners $145 241%
Self Pay $230 - $345 382%
First Health Coventry $502 833%
Coventry Medical Center $574 952%
Multiplan $794 1317%
Prime Health $813 1349%
Healthsmart $861 1429%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals