CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Gunnison Valley Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $182
Cash Discount Price: $257
vs. Medicare Baseline: 3.02x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Gunnison Valley Hospital is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $257. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.02x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$257

Average discount available for prompt cash payment at this facility.

Insurance Median

$182

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: $257 (426%)

Insurance Median: $182 (302%)

Cash: $257 (426% of Medicare)

Ins. Median: $182 (302% 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 302% of the Medicare baseline (a markup of 202%). 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
Medicare (plans)	$7 - $149	12%
Gunnison County Coroner Op Only	$8 - $156	13%
Gunnison County Sheriff Op & Profee Only	$8 - $156	13%
Ebms Hdhp	$9 - $182	15%
Tetwp Op & Profee Only-All Plans	$9 - $182	15%
U Of Co Transplant-All Plans	$9 - $182	15%
Ebms Ppo Plan-All Other Plans	$10 - $213	17%
Gunnison County Employees-All Other Plans	$12 - $243	20%
Scottish Rites-All Plans	$12 - $243	20%
Blue Cross Blue Shield	$13 - $266	22%
Elap Employers-All Plans	$13 - $258	22%
Aetna	$14 - $292	23%
Apostrophe-All Plans	$14 - $274	23%
Cofinity-All Plans	$14 - $292	23%
Multiplan-All Plans	$14 - $283	23%
Rocky Mountain Health-All Plans	$14 - $289	23%
UnitedHealthcare	$14 - $289	23%
Cigna	$15 - $298	25%
Medicaid / KanCare	$35	58%

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 $257.
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 Gunnison Valley 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.