CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $426
  • Cash Discount Price: $775
  • vs. Medicare Baseline: 7.07x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Eastern Idaho Regional Medical Center is $426. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $775. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 7.07x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.
Cash / Self-Pay
$775

Average discount available for prompt cash payment at this facility.

Insurance Median
$426

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: $775 (1286%)
Insurance Median: $426 (707%)
Cash: $775 (1286% of Medicare)
Ins. Median: $426 (707% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 707% of the Medicare baseline (a markup of 607%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $5 - $737 8%
Molina $5 8%
Interwest Health $84 - $698 139%
Regence $159 264%
Select Health $235 390%
Select Health Ichn Brightpath $235 - $262 390%
Select Health Idaho (Eirmc Only) $247 410%
Aetna $305 - $378 506%
Doug Andrus Distributing $310 514%
Pacificsource Health $326 - $416 541%
University Of Utah $326 541%
Mountain Health Co-Op $388 - $582 644%
Cigna $426 707%
United $448 743%
First Choice Health Of Washington $465 772%
Moda $483 801%
Dmba $499 828%
Prime Health $582 - $659 966%
Geha Ppo Usa $620 1029%
Humana $651 1080%
Multiplan $651 - $698 1080%
First Choice Of The Midwest $698 1158%
St. John'S Health Network $698 1158%
Coventry First Health $706 1171%
Shashone-Bannock Tribal Health $775 1286%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Channing Way, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals