CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Mercy Medical Center-New Hampton

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $24
  • Cash Discount Price: $455
  • vs. Medicare Baseline: 0.40x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mercy Medical Center-New Hampton is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $455. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.40x the Medicare baseline. Located in 308 North Maple Avenue, New Hampton, IA.
Cash / Self-Pay
$455

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $455 (755%)
Insurance Median: $24 (40%)
Cash: $455 (755% of Medicare)
Ins. Median: $24 (40% 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 Dept Of Public Health $5 8%
Aetna $6 - $232 10%
Blue Cross Blue Shield $10 - $97 17%
Medicare (plans) $10 - $109 17%
UnitedHealthcare $10 - $170 17%
Health Choices $12 - $124 20%
Medical Associates $12 - $124 20%
Amish Hospital Aid $13 - $130 22%
Oscar $14 - $144 23%
Ambetter / Centene $16 - $165 27%
Iowa Total Care $16 - $167 27%
Geha $17 - $170 28%
Medicaid / KanCare $17 - $171 28%
Claimdoc $19 - $197 32%
Nova $19 - $197 32%
1199 National Benefit Fund $23 - $232 38%
Allied Benefit Systems $23 - $232 38%
Asr Health Benefits $23 - $232 38%
Auxiant $23 - $238 38%
Cigna $23 - $238 38%
Coventry $23 - $232 38%
First Choice Health $23 - $233 38%
First Health $23 - $232 38%
Health Partners $23 - $235 38%
Lucent Health $23 - $232 38%
Luminare Health $23 - $232 38%
Medica $23 - $238 38%
Medical Mutual $23 - $232 38%
Meritain $23 - $232 38%
Midlands $23 - $238 38%
Midlands Choice $23 - $238 38%
Trustmark Small Business Benefits $23 - $232 38%
Webtpa $23 - $232 38%
Crime Victim Assistance $24 - $245 40%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 308 North Maple Avenue, New Hampton, IA 50659
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals