CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $172
Cash Discount Price: $161
vs. Medicare Baseline: 2.85x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Clearwater Valley Hospital & Clinics is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.85x the Medicare baseline. Located in 301 Cedar Street, Orofino, ID.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$172

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: $161 (267%)

Insurance Median: $172 (285%)

Cash: $161 (267% of Medicare)

Ins. Median: $172 (285% 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 285% of the Medicare baseline (a markup of 185%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$116 - $199	192%
Humana	$116 - $208	192%
Pacific Source - All Plans	$116	192%
Regence Blue Shield Mcr	$116	192%
Veterans Amin-All Plans	$116	192%
Blue Cross Blue Shield	$117 - $210	194%
Nimiipuu Mcr Adv-All Plans	$117	194%
Corizon Correctnal Med-All Plans	$156	259%
Cigna	$193	320%
Idaho Phys Network-All Plans	$203	337%
Multiplan / Phcs-All Plans	$208	345%
First Choice-All Plans	$210	348%
Geha-All Plans	$210	348%
Regence Blue Shield-All Other Plans	$214	355%

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 $161.
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 Clearwater Valley Hospital & 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.