CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Washington County Hospital and Clinics

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $89
Cash Discount Price: $163
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Washington County Hospital and Clinics is $89. 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 1.48x the Medicare baseline. Located in 400 East Polk Street, Washington, IA.

Cash / Self-Pay

$163

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $89 (148%)

Cash: $163 (270% of Medicare)

Ins. Median: $89 (148% 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
Ambetter / Centene	$10	17%
Aetna	$25 - $191	41%
Blue Cross Blue Shield	$74 - $88	123%
Health Alliance Mcr Adv	$87	144%
Med Assoc Mcr Adv	$87	144%
Healthpartners Mcr Adv	$89	148%
Humana	$89	148%
Ia Total Care Wellcare Mcr Adv	$89	148%
Molina Mcr Adv - All Other Plans	$89	148%
Wellpoint Mcr Adv Amerigrp - All Other Plans	$89	148%
Ia Total Care Mcaid	$91	151%
Medicaid / KanCare	$91	151%
Wellpoint Mcaid Amerigrp	$91	151%
Healthpartners - All Other Plans	$184	305%
Midlands Choice - All Plans	$184	305%
Health Alliance Comm - All Other Plans	$206	342%

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 $163.
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 Washington County Hospital and Clinics 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.