CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: University of Iowa Hospital & Clinics

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $222
Cash Discount Price: $259
vs. Medicare Baseline: 3.68x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at University of Iowa Hospital & Clinics is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.68x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.

Cash / Self-Pay

$259

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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: $259 (430%)

Insurance Median: $222 (368%)

Cash: $259 (430% of Medicare)

Ins. Median: $222 (368% 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 368% of the Medicare baseline (a markup of 268%). 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
Aetna	$5 - $518	8%
Iowa Total Care	$5 - $178	8%
Medical Associates	$5 - $297	8%
Molina Healthcare	$5 - $178	8%
UnitedHealthcare	$5 - $337	8%
American Health Plan	$6 - $59	10%
Blue Cross Blue Shield	$6 - $213	10%
Healthpartners	$6 - $377	10%
Wellpoint (Amerigroup)	$6 - $59	10%
Aplos Health Plan	$13 - $355	22%
Immergrun	$14 - $111	23%
Quad City Community Healthcare	$26 - $333	43%
Oscar Health	$37 - $280	61%
Great River Health Systems	$41 - $311	68%
Sedgwick	$46 - $355	76%
Global Excel	$49 - $377	81%
Sanford Health Plan	$49 - $377	81%
Employee Benefit Systems	$51 - $400	85%
Midlands Choice	$51 - $289	85%
Sisco	$51 - $391	85%
Healthsmart	$52 - $400	86%
Hfn	$53 - $408	88%
Multiplan	$53 - $408	88%

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 $259.
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 University of Iowa Hospital & Clinics 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.