CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Banner Gateway Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $70
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Banner Gateway Medical Center is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.16x the Medicare baseline. Located in 1900 North Higley Road, Gilbert, AZ.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $95 (158%)
Insurance Median: $70 (116%)
Cash: $95 (158% of Medicare)
Ins. Median: $70 (116% 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 $16 - $242 27%
Arizona Physicians Ipa $26 - $63 43%
Banner University Health Plan $26 - $63 43%
Health Choice Arizona, Inc. $26 - $95 43%
Health Net $26 - $94 43%
Mercy Care $26 - $63 43%
Banner Health $63 105%
Blue Cross Blue Shield $63 - $102 105%
Care 1St $63 105%
Cigna $63 - $315 105%
Gila River Health Care Corporation $63 105%
Humana $63 - $65 105%
Kaiser Foundation Health Plan $63 105%
Triwest Healthcare Alliance Corp - Va Ccn $63 105%
UnitedHealthcare $63 - $406 105%
Upmc Health Plan $63 105%
Wellpoint (Fka Amerigroup) $63 105%
Carekin $66 110%
Devoted Health Services $66 110%
Arizona Priority Care $70 116%
Gold Kidney Health Plan $70 116%
Oscar Health Plan $104 173%
Hospice Of The Valley $161 267%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $207 343%
Plotkin Health $207 343%
Quiktrip Corporation $248 411%
Arizona Medical Network $321 533%
Provider Network Of America $344 571%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 North Higley Road, Gilbert, AZ 85234
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals