CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Ottumwa Regional Health Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $60
  • Cash Discount Price: $235
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Ottumwa Regional Health Center is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.00x the Medicare baseline. Located in 1001 E Pennsylvania, Ottumwa, IA.
Cash / Self-Pay
$235

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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: $235 (390%)
Insurance Median: $60 (100%)
Cash: $235 (390% of Medicare)
Ins. Median: $60 (100% 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
Iowa Total Care Inc $55 91%
Wellpoint Iowa, Inc. $55 - $57 91%
UnitedHealthcare $57 - $188 95%
Molina Healthcare Of Iowa $58 96%
Aetna $60 - $61 100%
Wellmark Advantage Health Plan $60 100%
Humana $62 103%
Wellmark Health Plan Of Iowa $75 124%
Blue Cross Blue Shield $83 138%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 E Pennsylvania, Ottumwa, IA 52501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals