CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Arkansas Valley Regional Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $194
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 3.22x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Arkansas Valley Regional Medical Center is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.22x the Medicare baseline. Located in 1100 Carson Avenue, Lajuna, CO.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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: $129 (214%)
Insurance Median: $194 (322%)
Cash: $129 (214% of Medicare)
Ins. Median: $194 (322% 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 322% of the Medicare baseline (a markup of 222%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $187 310%
America $194 322%
Humana $194 322%
Meritain Health $194 322%
Muti-Plan $194 322%
Rocky Mountain Hospital & Medical $200 332%
UnitedHealthcare $200 332%
Cigna $204 338%
Aetna $215 357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Carson Avenue, Lajuna, CO 81050
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals