CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Lost Rivers Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $134
Cash Discount Price: $166
vs. Medicare Baseline: 2.22x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Lost Rivers Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.22x the Medicare baseline. Located in 551 Highland Drive, Arco, ID.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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: $166 (275%)

Insurance Median: $134 (222%)

Cash: $166 (275% of Medicare)

Ins. Median: $134 (222% 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 222% of the Medicare baseline (a markup of 122%). 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
Provider Network Of America-All Plans	$108	179%
Select Health Brightpath-All Other Plans	$117	194%
Tricare	$117	194%
Ihcn Brightpath-All Other Plans	$124	206%
Va Pccc-All Plans	$126	209%
Blue Cross Blue Shield	$130 - $207	216%
Humana	$130 - $207	216%
Ihcn Brightpath Mcr Adv	$130	216%
Molina Mcr Adv-All Plans	$130	216%
Pacificsource Mcr Adv	$130	216%
Regence/Brightpth Slhp Mcr	$130	216%
Select Health Mcr Adv	$130	216%
Prime Hlth Mcr Adv	$137	227%
Aetna	$141 - $195	234%
Cigna	$193	320%
First Choice-All Plans	$193	320%
Pacificsource Navigator-All Other Plans	$197	327%
UnitedHealthcare	$197	327%
Altius Health Plan-All Plans	$201	333%
Regence Blue Shield-All Other Plans	$203	337%

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 $166.
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 Lost Rivers Medical 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.