CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: East Morgan County Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $267
Cash Discount Price: $191
vs. Medicare Baseline: 4.43x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at East Morgan County Hospital is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $191. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.43x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.

Cash / Self-Pay

$191

Average discount available for prompt cash payment at this facility.

Insurance Median

$267

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: $191 (317%)

Insurance Median: $267 (443%)

Cash: $191 (317% of Medicare)

Ins. Median: $267 (443% 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 443% of the Medicare baseline (a markup of 343%). 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 Assurance Workers Comp	$139	231%
Aetna	$142 - $307	236%
Banner Health	$142	236%
Blue Cross Blue Shield	$142 - $271	236%
Clear Spring Health	$142	236%
Healthspring Life & Health Insurance Company, Inc.	$142	236%
Medica	$142 - $275	236%
Medicare (plans)	$142	236%
Triwest Healthcare Alliance Corp - Va Ccn	$142	236%
UnitedHealthcare	$142 - $307	236%
Longevity	$146	242%
Humana	$150	249%
Devoted Health Services	$156	259%
Assist Health Group	$170	282%
Denver Health Medical Plan	$264	438%
Apostrophe, Inc.	$297	493%
First Choice Health Network	$297	493%
Hue Health, Inc	$314	521%
Rocky Mountain Health Plans	$314	521%
Multiplan	$320	531%

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 $191.
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 East Morgan County 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.