CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Good Samaritan Medical Center LLC

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $232
Cash Discount Price: Unavailable
vs. Medicare Baseline: 3.85x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Good Samaritan Medical Center LLC is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.85x the Medicare baseline. Located in 200 Exempla Cir, Lafayette, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$232

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%)

Insurance Median: $232 (385%)

Ins. Median: $232 (385% 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 385% of the Medicare baseline (a markup of 285%). 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
Aetna	$22 - $495	37%
Geha	$24 - $320	40%
Preferred One	$24 - $220	40%
Aarp	$59	98%
UnitedHealthcare	$59 - $320	98%
Kaiser Snp	$60	100%
Select Health	$60	100%
Kaiser Perm Hmo	$102 - $232	169%
Kaiser Self Funded	$127 - $232	211%
Kaiser Perm Ppo/Pos	$129 - $239	214%
Allegiance	$138	229%
Cigna	$138 - $552	229%
Denv Hlth Med Plan	$155	257%
Blue Cross Blue Shield	$220 - $464	365%
Humana	$232	385%
Cofinity	$398	660%
First Health Network	$398	660%
Private Hlthcare Sys	$414	687%
Multiplan Inc	$469	778%

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 $X.
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 Good Samaritan Medical Center LLC 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.