CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $588
Cash Discount Price: $1,245
vs. Medicare Baseline: 9.76x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at The Medical Center of Aurora & South Hospital is $588. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,245. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 9.76x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.

Cash / Self-Pay

$1,245

Average discount available for prompt cash payment at this facility.

Insurance Median

$588

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: $1,245 (2066%)

Insurance Median: $588 (976%)

Cash: $1,245 (2066% of Medicare)

Ins. Median: $588 (976% 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 976% of the Medicare baseline (a markup of 876%). 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 - $1,143	163%
Vail Health	$184 - $193	305%
Kaiser	$242 - $451	402%
United	$250 - $571	415%
Cigna	$261 - $812	433%
Bright Health	$363 - $381	602%
Colorado Program For Children With Special Needs	$508 - $533	843%
Aetna	$638 - $670	1059%
Western Plains Community Health	$786 - $825	1304%
Northcare	$846 - $889	1404%
Physician Health Partners	$846 - $889	1404%
Blue Cross Blue Shield	$895 - $939	1485%
Medical Development International	$967 - $1,016	1604%
Prime Health	$1,088 - $1,143	1805%

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 $1,245.
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 The Medical Center of Aurora & South Hospital 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.