CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: St Lukes Regional Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $49
Cash Discount Price: $142
vs. Medicare Baseline: 0.81x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at St Lukes Regional Medical Center is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.81x the Medicare baseline. Located in 2720 Stone Park Boulevard, Sioux City, IA.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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: $142 (236%)

Insurance Median: $49 (81%)

Cash: $142 (236% of Medicare)

Ins. Median: $49 (81% 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.

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 - $145	8%
Amerivantage	$6 - $61	10%
Blue Cross Blue Shield	$6 - $59	10%
Humana	$6 - $61	10%
Molina	$6 - $59	10%
Nebraska Total Care	$6 - $46	10%
UnitedHealthcare	$6 - $159	10%
Avera Health Plan	$8 - $115	13%
Wellmark Uph Self-Funded	$13	22%
Cigna	$14 - $112	23%
Health Partners Open Network	$15 - $89	25%
Amerigroup	$53	88%
Iowa Total Care	$53	88%
Medica Exchange Inspire	$92	153%
Medica Exchange Insure	$103	171%

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 $142.
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 St Lukes Regional Medical Center 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.