CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Kossuth Regional Health Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $108
Cash Discount Price: $114
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Kossuth Regional Health Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.79x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.

Cash / Self-Pay

$114

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $114 (189%)

Insurance Median: $108 (179%)

Cash: $114 (189% of Medicare)

Ins. Median: $108 (179% 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
Blue Cross Blue Shield	$33 - $36	55%
Humana	$54	90%
Mercy One - All Plans	$54	90%
Va Ccn - All Plans	$54	90%
Amerigroup Mcr Adv - All Other Plans	$55	91%
UnitedHealthcare	$56 - $108	93%
Health Partners New Bus - All Other Plans	$99	164%
Midlands Choice - All Plans	$99	164%
Medical Associates - All Plans	$121	201%
Preferred Health - All Plans	$121	201%
Aetna	$132 - $138	219%
Multiplan - All Plans	$135	224%
Health Partners Exisiting Bus	$138	229%
Molina Mcaid/Chip - All Plans	$146	242%
Amerigroup Mcaid	$148	246%

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 $114.
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 Kossuth Regional Health 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.