CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Davis County Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $93
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Davis County Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.54x the Medicare baseline. Located in 509 North Madison Street, Bloomfield, IA.
Cash / Self-Pay
$163

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $163 (270%)
Insurance Median: $93 (154%)
Cash: $163 (270% of Medicare)
Ins. Median: $93 (154% 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
Blue Cross Blue Shield $31 - $34 51%
Aetna $54 - $108 90%
Choicecare Mcr Adv $59 - $117 98%
Home State Hlth Exch - All Other Plans $59 - $117 98%
Home State Hlth Mcr $59 - $117 98%
Mt Carmel Hp-All Plans $59 - $117 98%
Tricare $59 - $117 98%
Amerigroup Mcr Adv-All Other Plans $60 - $119 100%
American Hp Mcr Adv-All Plans $62 - $122 103%
Home State Hlth Mcaid $65 - $130 108%
Iowa Total Care Mcaid-All Plans $67 - $132 111%
Amerigroup Mcaid $68 - $135 113%
Molina Mcaid-All Plans $68 - $134 113%
Midlands Choice - All Plans $76 - $151 126%
Preferred Hlth Choices - All Plans $82 - $162 136%
Choicecare Comm - All Other Plans $104 - $205 173%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 North Madison Street, Bloomfield, IA 52537
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals