CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Banner Fort Collins Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $152
Cash Discount Price: $86
vs. Medicare Baseline: 2.52x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Banner Fort Collins Medical Center is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.52x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $86 (143%)

Insurance Median: $152 (252%)

Cash: $86 (143% of Medicare)

Ins. Median: $152 (252% 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 252% of the Medicare baseline (a markup of 152%). 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
Blue Cross Blue Shield	$35 - $60	58%
UnitedHealthcare	$58 - $1,247	96%
Cigna	$60	100%
Clear Spring Health	$60	100%
Healthspring Life & Health Insurance Company, Inc.	$60	100%
Medica	$60 - $240	100%
Medicare (plans)	$60	100%
Humana	$61	101%
Longevity	$61	101%
Devoted Health Services	$63	105%
Assist Health Group	$72	119%
Pinnacol Assurance Workers Comp	$94	156%
Denver Health Medical Plan	$107	178%
Banner Health	$118	196%
Centivo	$143	237%
Hue Health, Inc	$152 - $202	252%
Rocky Mountain Health Plans	$243	403%
Apostrophe, Inc.	$245	407%
Decent Health	$245	407%
Aetna	$253	420%
First Choice Health Network	$259	430%
Multiplan	$271	450%
First Choice Of The Midwest	$274	455%

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 $86.
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 Banner Fort Collins Medical Center 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.