CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Boone County Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $80
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Boone County Hospital is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.33x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$108

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $108 (179%)
Insurance Median: $80 (133%)
Cash: $108 (179% of Medicare)
Ins. Median: $80 (133% 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
Aetna $8 - $196 13%
Amerigroup Mcr Adv - All Other Plans $8 - $104 13%
Choice Care Mcr Adv - All Plans $8 - $103 13%
Humana $8 - $226 13%
Iowa Hlth Adv - All Plans $8 - $103 13%
Mt Carmel Hp - All Plans $8 - $103 13%
UnitedHealthcare $8 - $147 13%
Va Ccn-All Plans $8 - $103 13%
Iowa Total Care Mcaid - All Plans $9 - $115 15%
Medicaid / KanCare $9 - $116 15%
Meridian Mcaid - All Plans $9 - $113 15%
Healthsmart Accell Network $13 - $176 22%
Medical Associates Hp-All Plans $14 - $188 23%
Healthsmart Ppo - All Other Plans $15 - $201 25%
Health Alliance-All Plans $17 - $226 28%
Midlands Choice-All Plans $17 - $231 28%
Mutually Preferred-All Plans $18 - $239 30%
Tricare $60 100%
Wellmark Hmo $80 133%
Wellmark Ppo - All Other Plans $88 146%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals