CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Montrose Regional Health

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $107
  • Cash Discount Price: $186
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Montrose Regional Health is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.78x the Medicare baseline. Located in 800 S 3Rd St, Montrose, CO.
Cash / Self-Pay
$186

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $186 (309%)
Insurance Median: $107 (178%)
Cash: $186 (309% of Medicare)
Ins. Median: $107 (178% 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
Sloans Lake Managed Care-All Plans $2 - $236 3%
Blue Cross Blue Shield $7 - $233 12%
Humana $7 - $236 12%
Medicare (plans) $7 - $67 12%
United Rocky Mountain Chp-All Other Plans $12 - $107 20%
United Rocky Mountain Private Plan $12 - $229 20%
United Rocky Mountain Self Insured $12 - $236 20%
UnitedHealthcare $21 - $236 35%
Three Rivers-All Plans $23 - $236 38%
Western Healthcare Alliance-All Plans $23 - $223 38%
Cigna $25 - $236 41%
Multiplan-All Plans $25 - $236 41%
Uchpa - All Plans $25 - $236 41%
United Rocky Mountain Mcaid $25 - $26 41%
Montrose Community Healthplan-All Plans $211 350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 S 3Rd St, Montrose, CO 81401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals