CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Mercyone Elkader Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $16
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 0.27x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mercyone Elkader Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.27x the Medicare baseline. Located in 901 Davidson Street Nw, Elkader, IA.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $92 (153%)
Insurance Median: $16 (27%)
Cash: $92 (153% of Medicare)
Ins. Median: $16 (27% 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $4 - $155 7%
Champva $5 8%
Humana $5 - $16 8%
Iowa Dept Of Public Health $5 8%
Tricare $5 8%
Triwest Health Alliance $5 8%
Us Family Health Plan $5 8%
Veterans Eval Services $5 8%
Aetna $6 - $180 10%
Align Senior Care $6 10%
Ally Align Care Adv $6 10%
American Health Advantage Of Idaho $6 10%
American Health Plan $6 10%
Aurora Special Needs $6 10%
Blue Care Network Advantage $6 10%
Blue Cross Blue Shield $6 - $126 10%
Blue Shield - De (Highmark) Medciare Advantage $6 10%
Care Dimensions $6 10%
Care Improvement Plus $6 10%
Care Resources Pace $6 10%
Careplus Health Plans $6 10%
Cca - Zing Health $6 10%
Cca Senior Care Options $6 10%
Central Valley Medical Services Corp Pace $6 10%
Champion Health Plan Mcr Advantage $6 10%
Cigna $6 - $240 10%
Clear Spring Health $6 10%
Clover Health $6 10%
Commonwealth Care Alliance $6 10%
Community Pace At Home $6 10%
Eddy Senior Care-Pace $6 10%
Eddy Seniorcare Pace $6 10%
Elementcare $6 10%
Evercare $6 10%
Everence $6 10%
Gateway Health Plan $6 10%
Genesys Pace Of Genesee County $6 10%
Georgia Health Advantage $6 10%
Gold Advantage $6 10%
Gpa Croell Redi Mix $6 10%
Health America Advantra $6 10%
Highmark Health Options Dual Plan $6 10%
Hope Select Pace $6 10%
Horizon Nj Total Care $6 10%
Hudson Headwaters Pace $6 10%
Huron Valley Pace $6 10%
Innovative Integrated Health Community Plans $6 10%
Iowa Health Advantage $6 10%
Johns Hopkins Advantage Md $6 10%
Lasso Healthcare Msa $6 10%
Life St Marys Pace $6 10%
Lifecircles Pace $6 10%
Longevity Health Plan $6 10%
Longevity Ipa Of Michigan Llc Health Plan Isnp $6 10%
Martins Point Generations Advantage $6 10%
Mass General Brigham Mcr Adv $6 10%
Medicare (plans) $6 - $132 10%
Medipak Advantage $6 10%
Mercy Life $6 10%
Mercyone Cedar Valley $6 10%
Meridian Complete $6 10%
Michigan Complete Health $6 10%
Nascentia Health Plus $6 10%
New Centry Health Careplus $6 10%
Osu Prime Care Advantage $6 10%
Pace Cny $6 10%
Pace Iowa Immanuel Pathways $6 10%
Pace Of Southwest Michigan $6 - $16 10%
Pace Southeast $6 10%
Pace-Trinity Health $6 10%
Peak Pace Solutions $6 10%
Perennial Advantage $6 10%
Preferred Care Partners $6 10%
Presbyterian Senior Plan $6 10%
Provider Partners Health Plan Of Illinois $6 10%
Provider Partners Health Plan Of Indiana $6 10%
Pruitthealth Premier $6 10%
Reliance Community Care Partners Care Resources Pace $6 10%
Rx Allwin $6 10%
Rx Grane Grnmedd $6 10%
Rx Retiree Rx Care $6 10%
Scan Health Plan Mcr Ipa Meritage Oon $6 10%
Secure Horizons Ma Pffs $6 10%
Serenity Pace $6 10%
Siouxland Pace $6 10%
Solis Health Plans $6 10%
Sunnyview-Pace Finance Dept $6 10%
Texan Plus $6 10%
The Health Plan $6 10%
Thome Pace $6 10%
Todays Options $6 10%
Tribute Health Plans $6 10%
Um Health Advantage $6 10%
Union Health Service $6 10%
UnitedHealthcare $6 - $214 10%
Veterans Administration $6 10%
Wc Corvel $6 10%
Welbe Health $6 10%
Wellmed $6 10%
Stephenson Cty Health $7 12%
Amish Hospital Aid $8 - $169 13%
Amps $8 13%
Avera $10 17%
Medical Associates $10 - $196 17%
Ambetter / Centene $11 - $214 18%
Lucent Health $11 - $180 18%
Sanford Health Plan $11 18%
Centivo $12 - $191 20%
Health Smart $12 20%
Oscar $12 20%
Quiktrip $12 20%
Ucare $12 20%
Usa Managed Care $12 20%
Bcn Domestic $13 22%
Blue Benefit Administrators Of Massachusetts $13 22%
Blue Care Network $13 22%
Blue Distinction Transplant $13 22%
Blue Shield - Ca $13 22%
Blue Shield - Id (Regence) $13 22%
Blue Shield - Ny Highmark Northeastern $13 22%
Blue Shield - Ny Highmark Western $13 22%
Blue Shield - Pa (Highmark) $13 22%
Blue Shield - Wa (Regence) $13 22%
Claimdoc $13 - $256 22%
Health Choices $13 - $196 22%
Health Partners $13 - $236 22%
Kaiser Domestic $13 22%
Multiplan $13 22%
Pre-Employment $13 22%
Preferred One $13 22%
The Alliance $13 22%
Wc Domestic $13 22%
Global Excel $14 23%
Velocity $15 25%
Albany County Correctional Facility $16 27%
Amish Mennonite $16 27%
Ascension St. Vincent Public Safety Medical $16 27%
Bcccp-Michigan $16 27%
Bccp $16 27%
Bmc Healthnet $16 27%
Breast Grant-Connecticut $16 27%
Broward County Dept Of Health $16 27%
California Health And Wellness $16 27%
Can Community Health Inc $16 27%
Cardinal Innovations Lme $16 27%
Care Connections Of Northern Iowa $16 27%
Care Oregon Ohp $16 27%
Cencal Health Plan $16 27%
Cenpatico $16 27%
Chhuny $16 27%
Childrens Comm Health Plan $16 27%
Childrens Medical Services Title 19 $16 27%
City Of Philadelphia $16 27%
Cmh Allegan County $16 27%
Cmh Ausable Valley $16 27%
Cmh Barry County $16 27%
Cmh Bay-Arenac County $16 27%
Cmh Berrien County $16 27%
Cmh Cass County $16 27%
Cmh Central Mi County $16 27%
Cmh Clinton-Eaton-Ingham County $16 27%
Cmh Detroit Wayne Integrated Health Network $16 27%
Cmh Genesee County $16 27%
Cmh Ionia County $16 27%
Cmh Jackson County/Lifeways $16 27%
Cmh Kalamazoo $16 27%
Cmh Kent County $16 27%
Cmh Lenawee County $16 27%
Cmh Livingston County $16 27%
Cmh Macomb $16 27%
Cmh Misc $16 27%
Cmh Monroe County $16 27%
Cmh Montcalm County $16 27%
Cmh Muskegon County $16 27%
Cmh Newaygo County $16 27%
Cmh North Country $16 27%
Cmh Northern Lakes County $16 27%
Cmh Oakland County $16 27%
Cmh Ottawa County $16 27%
Cmh Van Buren County $16 27%
Cmh Washtenaw County $16 27%
Cmh Wayne County/Carelink $16 27%
Cmh Wayne Cty/Com Liv Svcs $16 27%
Cmh West Mi County $16 27%
Community Benefit Health $16 27%
Community Care Behavorial Health $16 27%
Community Care Partners $16 27%
Community Health Choice $16 27%
Connections Csp $16 27%
County Coroner $16 27%
County Funding Generic $16 27%
Covid19 Hrsa Uninsured Testing And Treatment Fund $16 27%
Dean Wi Badgercare $16 27%
Delaware County Department Of Health $16 27%
Delaware First Health $16 27%
Delta Dental Nj $16 27%
Dph Tb Program $16 27%
Dscc $16 27%
Eastpointe Lme $16 27%
Family Health Network $16 27%
Freedom First Healthcare $16 27%
Fresno County Ccs $16 27%
Ghc Scw Wi Badgercare $16 27%
Harbor Health $16 27%
Health Safety Net $16 27%
Healthy Blue Ne $16 27%
Hennepin Health $16 27%
Id County Ada $16 27%
Id County Canyon $16 27%
Id County Cat Fund $16 27%
Id County Other $16 27%
Id County Payette $16 27%
Idaho Dept Health And Wellfare $16 27%
Idaho Womens Health Check $16 27%
Indiana Breast Cervical Cancer $16 27%
Inland Empire Health Plan $16 27%
Intercommunity Health Ohp $16 27%
Iowa Total Care $16 - $152 27%
Jai Medical System $16 27%
Kern Family Health Plan $16 27%
Keystone First $16 27%
Keystone First Chip $16 27%
La Care Health Plan $16 27%
Lakeland Care Inc $16 27%
Managed Health Services - Indiana $16 27%
Maryland Breast & Cervical Program $16 27%
Maryland Healthy Smiles - Scion Dental $16 27%
Maryland Physicians Care $16 27%
Massachusetts Behavioral Health Partnership $16 27%
Mdwise $16 27%
Medi-Cal $16 27%
Medi-Cal Healthnet $16 27%
Medstar Dc Healthy Family $16 27%
Medstar Md Health Choice $16 27%
Meritain $16 - $180 27%
Mo Home State Health Plan $16 27%
Molina Centennial Care $16 27%
Nascentia Health Options $16 27%
New York Cancer Services Program $16 27%
Newton Correctional Facility $16 - $17 27%
Nextlevel Health $16 27%
Oregon Screenwise $16 27%
Paramount Advantage $16 27%
Parkland Community Health Plan $16 27%
Partners Behavioral Lme $16 27%
Peach State Healthplan $16 27%
Philadelphia County Funding $16 27%
Presbyterian Centennial Care $16 27%
Prestige Health Choice $16 27%
Priority Partners $16 27%
Robert F Sing Program $16 27%
Rx 340B Pass Along $16 27%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $16 27%
Rx Medi-Cal $16 27%
Rx Meridian Rx $16 27%
Ryan White Florida Mssrp $16 27%
Sandhills Center Lme $16 27%
Screening For Life $16 27%
St Joseph County Hlth Dpt $16 27%
Sunshine State Health Plan $16 27%
Superior Health $16 27%
Tenncare $16 27%
Texas Children'S Health Plan $16 27%
Trillium Community Ohp $16 27%
Tufts Health Public Plans $16 27%
Vaya Health Lme $16 27%
Washtenaw Health Plan $16 27%
Wellpoint $16 27%
Wellsense Health Plan $16 27%
Wi Womens Wellness $16 27%
Allied Benefit Systems $17 - $180 28%
Auxiant $17 - $240 28%
First Choice Health $17 28%
Group Administrators $17 28%
Midlands $17 - $240 28%
Midlands Choice $17 - $240 28%
Genex Wc $18 30%
Nebraska Total Care $18 - $27 30%
Wc Align Network $19 32%
Wc Praxis Health Network $20 33%
Geha $21 - $214 35%
Wc Reny Company $21 35%
Wc Velocity $21 35%
Auto Velocity $22 37%
Wc O'Hara Corp $22 37%
Andrie Inc $24 40%
East Greenbush Central School District $24 40%
Healthsmart Workers Comp $24 40%
Jag Source $24 40%
New York State Insurance Fund $24 40%
Njm Insurance Group $24 40%
Rx Heatlhcomp $24 40%
Rx Restat $24 40%
Rx Saif Opdp Wc $24 40%
Rx Worker'S Comp $24 40%
Wc Accident Fund $24 40%
Wc Ace $24 40%
Wc Acs Federal Employees $24 40%
Wc Acuity $24 40%
Wc Advantage $24 40%
Wc Aegis $24 40%
Wc Aig $24 40%
Wc Aims $24 40%
Wc Alaska National Ins $24 40%
Wc Allied $24 40%
Wc Am Trust N America $24 40%
Wc American Claims Mgmt $24 40%
Wc Amerisure $24 40%
Wc Amtrust $24 40%
Wc Asu Risk Mgt $24 40%
Wc Benetech $24 40%
Wc Berkley Admin $24 40%
Wc Broadspire $24 40%
Wc Broward County $24 40%
Wc Bunch & Associates $24 40%
Wc California State Comp Ins $24 40%
Wc California State Ins Fund $24 40%
Wc Capitol Area Health Consortium $24 40%
Wc Ccmsi $24 40%
Wc Chartis $24 40%
Wc Chubb $24 40%
Wc Cirma $24 40%
Wc City Of Albany $24 40%
Wc City Of Sioux City $24 40%
Wc Claims Mgmt Inc $24 40%
Wc Cna $24 40%
Wc Comp One Admin C/O Manageability $24 40%
Wc Compone Admin $24 40%
Wc Ct Healthcare Trust $24 40%
Wc Donegal Insurance Group $24 40%
Wc Emc Insurance Company $24 40%
Wc Employee Mutual $24 40%
Wc Enablecomp $24 40%
Wc Encore Health Network $24 40%
Wc Erie $24 40%
Wc Esis $24 40%
Wc Evolutions $24 40%
Wc Fcci $24 40%
Wc Fed Ex $24 40%
Wc Federal Black Lung $24 40%
Wc Federated $24 40%
Wc Finley Occupational Health $24 40%
Wc First Agency/Occunet $24 40%
Wc Ford Motor $24 40%
Wc Fresno Unified Emp $24 40%
Wc Gallagher Bassett $24 40%
Wc General Motors $24 40%
Wc Generic $24 40%
Wc Genex Care For Ohio $24 40%
Wc Great West Casualty $24 40%
Wc Guarantee Insurance $24 40%
Wc Guard Insurance Company $24 40%
Wc Hab $24 40%
Wc Hartford $24 40%
Wc Hastings $24 40%
Wc Health Management $24 40%
Wc Heritage Summit $24 40%
Wc Hireright $24 40%
Wc Horizon $24 40%
Wc Icw Group $24 40%
Wc Idaho State Ins Fund $24 40%
Wc Intercare Insurance $24 40%
Wc Intermountain $24 40%
Wc Johns Eastern $24 40%
Wc Kemberton $24 40%
Wc Key Ins & Benefit Solutions $24 40%
Wc Liberty Mutual $24 40%
Wc Mac Risk Management $24 40%
Wc Massachusetts $24 40%
Wc Mdia $24 40%
Wc Meadowbrook Claim $24 40%
Wc Medical Administrators $24 40%
Wc Meijers $24 40%
Wc Memic $24 40%
Wc Mercy Workcare $24 40%
Wc Michigan $24 40%
Wc Michigan Millers Mutual $24 40%
Wc Mitchell Frankenmuth $24 40%
Wc Mra $24 40%
Wc Nationwide $24 40%
Wc Nca Comp $24 40%
Wc New York $24 40%
Wc New York Special Funds $24 40%
Wc North American Rishces $24 40%
Wc Northeast Health $24 40%
Wc Notre Dame $24 40%
Wc Novanet $24 40%
Wc Occ Health Allen $24 40%
Wc Ohio Bureau $24 40%
Wc One Call Medical $24 40%
Wc Paradigm $24 40%
Wc Peerless $24 40%
Wc Pma $24 40%
Wc Price Chopper $24 40%
Wc Procura Management $24 40%
Wc Qualcare $24 40%
Wc Quiktrip $24 40%
Wc Rev Claims $24 40%
Wc Risico $24 40%
Wc Rural Mutual $24 40%
Wc Saif Oregon $24 40%
Wc Secura $24 40%
Wc Sedgwick $24 40%
Wc Sentry $24 40%
Wc Sheakley Unicomp $24 40%
Wc Smile Lodge $24 40%
Wc Society $24 40%
Wc Srs $24 40%
Wc Taconic (Mro) $24 40%
Wc Taconic Farms $24 40%
Wc Travelers $24 40%
Wc Triad Group $24 40%
Wc Tristar $24 40%
Wc Troy Ny $24 40%
Wc Tyson $24 40%
Wc Unified Health Services $24 40%
Wc United Heartland $24 40%
Wc Us Dept Of Labor $24 40%
Wc Walmart $24 40%
Wc West Bend $24 40%
Wc West Bend Mutual/Argent $24 40%
Wc Winnebago Industries $24 40%
Wc Yankee Trails $24 40%
Wc York Risk $24 40%
Wc Zenith $24 40%
Wc Zurich $24 40%
1199 National Benefit Fund $180 299%
Asr Health Benefits $180 299%
Christian Brother Services $180 299%
Coventry $180 299%
First Health $180 299%
Luminare Health $180 299%
Medical Mutual $180 299%
Trustmark Small Business Benefits $180 299%
Webtpa $180 299%
Medica $240 398%
Crime Victim Assistance $245 407%
Nova $256 425%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 Davidson Street Nw, Elkader, IA 52043
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals