CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $55
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Southeast Iowa Regional Medical Center is $55. 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 0.91x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $55 (91%)
Ins. Median: $55 (91% 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.

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
American Healthplan Of Iowa - Midlevel $5 8%
Humana $6 10%
American Healthplan Of Iowa - Md $7 12%
Aetna $8 13%
Blue Cross Blue Shield $13 - $91 22%
Medicaid / KanCare $13 - $16 22%
Elap $14 - $20 23%
UnitedHealthcare $14 23%
Midlands Choice $15 - $213 25%
Immergrun $38 63%
6 Degree $48 - $190 80%
Plain Church $62 - $154 103%
Absolute Solutions $86 143%
First Agency $86 143%
Multiplan $86 143%
Henderson County $91 151%
Wellpoint (Amerigroup) $133 221%
Immugrun $149 247%
Brighton Amish Church $154 256%
Geha $220 365%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1221 South Gear Avenue, West Burlington, IA 52655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals