CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Healthone Mountain Ridge

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $1,265
Cash Discount Price: $2,810
vs. Medicare Baseline: 20.99x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Healthone Mountain Ridge is $1,265. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,810. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 20.99x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$2,810

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,265

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: $2,810 (4662%)

Insurance Median: $1,265 (2099%)

Cash: $2,810 (4662% of Medicare)

Ins. Median: $1,265 (2099% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2099% of the Medicare baseline (a markup of 1999%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Pinnacol Workers Comp	$94	156%
Multiplan	$98 - $2,529	163%
Life Source Services	$350	581%
Vail Health	$427	708%
Kaiser	$531 - $998	881%
Cigna	$542 - $1,799	899%
United	$582 - $1,265	966%
Bright Health	$843	1399%
Colorado Program For Children With Special Needs	$956	1586%
Aetna	$1,484	2462%
Western Plains Community Health	$1,827	3031%
Northcare	$1,967	3264%
Physician Health Partners	$1,967	3264%
Blue Cross Blue Shield	$2,080	3451%
Medical Development International	$2,248	3730%
Prime Health	$2,529	4196%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,810.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93005.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Healthone Mountain Ridge is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93005.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.