CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Saint Joseph Regional Medical Center
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $6
- Cash Discount Price: $573
- vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Saint Joseph Regional Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $573. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.10x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$573
Average discount available for prompt cash payment at this facility.
Insurance Median
$6
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: $573 (951%)
Insurance Median: $6 (10%)
Cash: $573 (951% of Medicare)
Ins. Median: $6 (10% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $4 - $4,316 | 7% |
| Aetna | $6 - $5,178 | 10% |
| Albany County Correctional Facility | $6 | 10% |
| Align Senior Care | $6 | 10% |
| Ally Align Care Adv | $6 | 10% |
| Ambetter / Centene | $6 | 10% |
| American Health Advantage Of Idaho | $6 | 10% |
| American Health Plan | $6 | 10% |
| Amish Mennonite | $6 | 10% |
| Andrie Inc | $6 | 10% |
| Ascension St. Vincent Public Safety Medical | $6 | 10% |
| Aurora Special Needs | $6 | 10% |
| Bcccp-Michigan | $6 | 10% |
| Bccp | $6 | 10% |
| Blue Care Network Advantage | $6 | 10% |
| Blue Cross Blue Shield | $6 - $11,794 | 10% |
| Blue Shield - De (Highmark) Medciare Advantage | $6 | 10% |
| Bmc Healthnet | $6 | 10% |
| Breast Grant-Connecticut | $6 | 10% |
| Broward County Dept Of Health | $6 | 10% |
| California Health And Wellness | $6 | 10% |
| Cardinal Innovations Lme | $6 | 10% |
| Care Connections Of Northern Iowa | $6 | 10% |
| Care Dimensions | $6 | 10% |
| Care Improvement Plus | $6 | 10% |
| Care Oregon Ohp | $6 | 10% |
| Care Resources Pace | $6 | 10% |
| Careplus Health Plans | $6 | 10% |
| Cca - Zing Health | $6 | 10% |
| Cca Senior Care Options | $6 | 10% |
| Cencal Health Plan | $6 | 10% |
| Cenpatico | $6 | 10% |
| Central Valley Medical Services Corp Pace | $6 | 10% |
| Champion Health Plan Mcr Advantage | $6 | 10% |
| Champva | $6 | 10% |
| Chhuny | $6 | 10% |
| Childrens Comm Health Plan | $6 | 10% |
| Childrens Medical Services Title 19 | $6 | 10% |
| Cigna | $6 - $264 | 10% |
| City Of Philadelphia | $6 | 10% |
| Clear Spring Health | $6 | 10% |
| Clover Health | $6 | 10% |
| Cmh Allegan County | $6 | 10% |
| Cmh Ausable Valley | $6 | 10% |
| Cmh Barry County | $6 | 10% |
| Cmh Bay-Arenac County | $6 | 10% |
| Cmh Berrien County | $6 | 10% |
| Cmh Cass County | $6 | 10% |
| Cmh Central Mi County | $6 | 10% |
| Cmh Clinton-Eaton-Ingham County | $6 | 10% |
| Cmh Detroit Wayne Integrated Health Network | $6 | 10% |
| Cmh Genesee County | $6 | 10% |
| Cmh Ionia County | $6 | 10% |
| Cmh Jackson County/Lifeways | $6 | 10% |
| Cmh Kalamazoo | $6 | 10% |
| Cmh Kent County | $6 | 10% |
| Cmh Lenawee County | $6 | 10% |
| Cmh Livingston County | $6 | 10% |
| Cmh Macomb | $6 | 10% |
| Cmh Misc | $6 | 10% |
| Cmh Monroe County | $6 | 10% |
| Cmh Montcalm County | $6 | 10% |
| Cmh Muskegon County | $6 | 10% |
| Cmh Newaygo County | $6 | 10% |
| Cmh North Country | $6 | 10% |
| Cmh Northern Lakes County | $6 | 10% |
| Cmh Oakland County | $6 | 10% |
| Cmh Ottawa County | $6 | 10% |
| Cmh Van Buren County | $6 | 10% |
| Cmh Washtenaw County | $6 | 10% |
| Cmh Wayne County/Carelink | $6 | 10% |
| Cmh Wayne Cty/Com Liv Svcs | $6 | 10% |
| Cmh West Mi County | $6 | 10% |
| Commonwealth Care Alliance | $6 | 10% |
| Community Benefit Health | $6 | 10% |
| Community Care Behavorial Health | $6 | 10% |
| Community Care Partners | $6 | 10% |
| Community Health Choice | $6 | 10% |
| Community Pace At Home | $6 | 10% |
| Connections Csp | $6 | 10% |
| County Coroner | $6 - $3,474 | 10% |
| County Funding Generic | $6 | 10% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $6 | 10% |
| Dean Wi Badgercare | $6 | 10% |
| Delaware County Department Of Health | $6 | 10% |
| Delaware First Health | $6 | 10% |
| Delta Dental Nj | $6 | 10% |
| Dph Tb Program | $6 | 10% |
| Dscc | $6 | 10% |
| East Greenbush Central School District | $6 | 10% |
| Eastpointe Lme | $6 | 10% |
| Eddy Senior Care-Pace | $6 | 10% |
| Eddy Seniorcare Pace | $6 | 10% |
| Elementcare | $6 | 10% |
| Evercare | $6 | 10% |
| Everence | $6 | 10% |
| Family Health Network | $6 | 10% |
| Freedom First Healthcare | $6 | 10% |
| Fresno County Ccs | $6 | 10% |
| Gateway Health Plan | $6 | 10% |
| Genesys Pace Of Genesee County | $6 | 10% |
| Genex Wc | $6 | 10% |
| Georgia Health Advantage | $6 | 10% |
| Ghc Scw Wi Badgercare | $6 | 10% |
| Gold Advantage | $6 | 10% |
| Gpa Croell Redi Mix | $6 | 10% |
| Harbor Health | $6 | 10% |
| Health America Advantra | $6 | 10% |
| Health Safety Net | $6 | 10% |
| Healthsmart Workers Comp | $6 | 10% |
| Healthy Blue Ne | $6 | 10% |
| Hennepin Health | $6 | 10% |
| Highmark Health Options Dual Plan | $6 | 10% |
| Hope Select Pace | $6 | 10% |
| Horizon Nj Total Care | $6 | 10% |
| Hudson Headwaters Pace | $6 | 10% |
| Humana | $6 | 10% |
| Huron Valley Pace | $6 | 10% |
| Id County Ada | $6 | 10% |
| Id County Canyon | $6 | 10% |
| Id County Cat Fund | $6 | 10% |
| Id County Other | $6 | 10% |
| Id County Payette | $6 | 10% |
| Idaho Dept Health And Wellfare | $6 | 10% |
| Idaho Womens Health Check | $6 | 10% |
| Indiana Breast Cervical Cancer | $6 | 10% |
| Inland Empire Health Plan | $6 | 10% |
| Innovative Integrated Health Community Plans | $6 | 10% |
| Intercommunity Health Ohp | $6 | 10% |
| Iowa Health Advantage | $6 | 10% |
| Iowa Total Care | $6 | 10% |
| Jag Source | $6 | 10% |
| Jai Medical System | $6 | 10% |
| Johns Hopkins Advantage Md | $6 | 10% |
| Kern Family Health Plan | $6 | 10% |
| Keystone First | $6 | 10% |
| Keystone First Chip | $6 | 10% |
| La Care Health Plan | $6 | 10% |
| Lakeland Care Inc | $6 | 10% |
| Lasso Healthcare Msa | $6 | 10% |
| Life St Marys Pace | $6 | 10% |
| Lifecircles Pace | $6 | 10% |
| Longevity Health Plan | $6 | 10% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $6 | 10% |
| Managed Health Services - Indiana | $6 - $4,316 | 10% |
| Martins Point Generations Advantage | $6 | 10% |
| Maryland Breast & Cervical Program | $6 | 10% |
| Maryland Healthy Smiles - Scion Dental | $6 | 10% |
| Maryland Physicians Care | $6 | 10% |
| Mass General Brigham Mcr Adv | $6 | 10% |
| Massachusetts Behavioral Health Partnership | $6 | 10% |
| Mdwise | $6 - $4,316 | 10% |
| Medi-Cal | $6 | 10% |
| Medi-Cal Healthnet | $6 | 10% |
| Medicare (plans) | $6 - $3,407 | 10% |
| Medipak Advantage | $6 | 10% |
| Medstar Dc Healthy Family | $6 | 10% |
| Medstar Md Health Choice | $6 | 10% |
| Mercy Life | $6 | 10% |
| Mercyone Cedar Valley | $6 | 10% |
| Meridian Complete | $6 - $3,341 | 10% |
| Michigan Complete Health | $6 | 10% |
| Mo Home State Health Plan | $6 | 10% |
| Molina Centennial Care | $6 | 10% |
| Nascentia Health Options | $6 | 10% |
| Nascentia Health Plus | $6 | 10% |
| Nebraska Total Care | $6 | 10% |
| New Centry Health Careplus | $6 | 10% |
| New York Cancer Services Program | $6 | 10% |
| New York State Insurance Fund | $6 | 10% |
| Nextlevel Health | $6 | 10% |
| Njm Insurance Group | $6 | 10% |
| Oregon Screenwise | $6 | 10% |
| Osu Prime Care Advantage | $6 | 10% |
| Pace Cny | $6 | 10% |
| Pace Iowa Immanuel Pathways | $6 | 10% |
| Pace Of Southwest Michigan | $6 | 10% |
| Pace Southeast | $6 | 10% |
| Pace-Trinity Health | $6 - $3,341 | 10% |
| Paramount Advantage | $6 | 10% |
| Parkland Community Health Plan | $6 | 10% |
| Partners Behavioral Lme | $6 | 10% |
| Peach State Healthplan | $6 | 10% |
| Peak Pace Solutions | $6 | 10% |
| Perennial Advantage | $6 | 10% |
| Philadelphia County Funding | $6 | 10% |
| Preferred Care Partners | $6 | 10% |
| Presbyterian Centennial Care | $6 | 10% |
| Presbyterian Senior Plan | $6 | 10% |
| Prestige Health Choice | $6 | 10% |
| Priority Partners | $6 | 10% |
| Provider Partners Health Plan Of Illinois | $6 | 10% |
| Pruitthealth Premier | $6 | 10% |
| Reliance Community Care Partners Care Resources Pace | $6 | 10% |
| Robert F Sing Program | $6 | 10% |
| Rx 340B Pass Along | $6 | 10% |
| Rx Allwin | $6 | 10% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $6 | 10% |
| Rx Grane Grnmedd | $6 | 10% |
| Rx Heatlhcomp | $6 | 10% |
| Rx Medi-Cal | $6 | 10% |
| Rx Meridian Rx | $6 | 10% |
| Rx Restat | $6 | 10% |
| Rx Retiree Rx Care | $6 | 10% |
| Rx Saif Opdp Wc | $6 | 10% |
| Rx Worker'S Comp | $6 | 10% |
| Ryan White Florida Mssrp | $6 | 10% |
| Sandhills Center Lme | $6 | 10% |
| Scan Health Plan Mcr Ipa Meritage Oon | $6 | 10% |
| Screening For Life | $6 | 10% |
| Secure Horizons Ma Pffs | $6 | 10% |
| Serenity Pace | $6 | 10% |
| Siouxland Pace | $6 | 10% |
| Solis Health Plans | $6 | 10% |
| St Joseph County Hlth Dpt | $6 - $5,011 | 10% |
| Stephenson Cty Health | $6 | 10% |
| Sunnyview-Pace Finance Dept | $6 | 10% |
| Sunshine State Health Plan | $6 | 10% |
| Superior Health | $6 | 10% |
| Tenncare | $6 | 10% |
| Texan Plus | $6 | 10% |
| Texas Children'S Health Plan | $6 | 10% |
| The Health Plan | $6 | 10% |
| Thome Pace | $6 | 10% |
| Todays Options | $6 | 10% |
| Tribute Health Plans | $6 | 10% |
| Tricare | $6 | 10% |
| Trillium Community Ohp | $6 | 10% |
| Triwest Health Alliance | $6 | 10% |
| Tufts Health Public Plans | $6 | 10% |
| Um Health Advantage | $6 | 10% |
| Union Health Service | $6 | 10% |
| UnitedHealthcare | $6 - $4,316 | 10% |
| Us Family Health Plan | $6 | 10% |
| Vaya Health Lme | $6 | 10% |
| Veterans Administration | $6 | 10% |
| Veterans Eval Services | $6 | 10% |
| Washtenaw Health Plan | $6 | 10% |
| Wc Accident Fund | $6 | 10% |
| Wc Ace | $6 | 10% |
| Wc Acs Federal Employees | $6 | 10% |
| Wc Acuity | $6 | 10% |
| Wc Advantage | $6 | 10% |
| Wc Aegis | $6 | 10% |
| Wc Aig | $6 | 10% |
| Wc Aims | $6 | 10% |
| Wc Alaska National Ins | $6 | 10% |
| Wc Align Network | $6 - $413 | 10% |
| Wc Allied | $6 | 10% |
| Wc Am Trust N America | $6 | 10% |
| Wc American Claims Mgmt | $6 | 10% |
| Wc Amerisure | $6 | 10% |
| Wc Amtrust | $6 | 10% |
| Wc Asu Risk Mgt | $6 | 10% |
| Wc Benetech | $6 | 10% |
| Wc Berkley Admin | $6 | 10% |
| Wc Broadspire | $6 | 10% |
| Wc Broward County | $6 | 10% |
| Wc Bunch & Associates | $6 | 10% |
| Wc California State Comp Ins | $6 | 10% |
| Wc California State Ins Fund | $6 | 10% |
| Wc Capitol Area Health Consortium | $6 | 10% |
| Wc Ccmsi | $6 | 10% |
| Wc Chartis | $6 | 10% |
| Wc Chubb | $6 | 10% |
| Wc Cirma | $6 | 10% |
| Wc City Of Albany | $6 | 10% |
| Wc City Of Sioux City | $6 | 10% |
| Wc Claims Mgmt Inc | $6 | 10% |
| Wc Cna | $6 | 10% |
| Wc Comp One Admin C/O Manageability | $6 | 10% |
| Wc Compone Admin | $6 | 10% |
| Wc Corvel | $6 | 10% |
| Wc Ct Healthcare Trust | $6 | 10% |
| Wc Donegal Insurance Group | $6 | 10% |
| Wc Emc Insurance Company | $6 | 10% |
| Wc Employee Mutual | $6 | 10% |
| Wc Enablecomp | $6 | 10% |
| Wc Erie | $6 | 10% |
| Wc Esis | $6 | 10% |
| Wc Evolutions | $6 | 10% |
| Wc Fcci | $6 | 10% |
| Wc Fed Ex | $6 | 10% |
| Wc Federal Black Lung | $6 | 10% |
| Wc Federated | $6 | 10% |
| Wc Finley Occupational Health | $6 | 10% |
| Wc First Agency/Occunet | $6 | 10% |
| Wc Ford Motor | $6 | 10% |
| Wc Fresno Unified Emp | $6 | 10% |
| Wc Gallagher Bassett | $6 | 10% |
| Wc General Motors | $6 | 10% |
| Wc Generic | $6 | 10% |
| Wc Genex Care For Ohio | $6 | 10% |
| Wc Great West Casualty | $6 | 10% |
| Wc Guarantee Insurance | $6 | 10% |
| Wc Guard Insurance Company | $6 | 10% |
| Wc Hab | $6 | 10% |
| Wc Hartford | $6 | 10% |
| Wc Hastings | $6 | 10% |
| Wc Health Management | $6 | 10% |
| Wc Heritage Summit | $6 | 10% |
| Wc Hireright | $6 | 10% |
| Wc Horizon | $6 | 10% |
| Wc Icw Group | $6 | 10% |
| Wc Idaho State Ins Fund | $6 | 10% |
| Wc Intercare Insurance | $6 | 10% |
| Wc Intermountain | $6 | 10% |
| Wc Johns Eastern | $6 | 10% |
| Wc Kemberton | $6 | 10% |
| Wc Key Ins & Benefit Solutions | $6 | 10% |
| Wc Liberty Mutual | $6 | 10% |
| Wc Mac Risk Management | $6 | 10% |
| Wc Massachusetts | $6 | 10% |
| Wc Mdia | $6 | 10% |
| Wc Meadowbrook Claim | $6 | 10% |
| Wc Medical Administrators | $6 | 10% |
| Wc Meijers | $6 | 10% |
| Wc Memic | $6 | 10% |
| Wc Mercy Workcare | $6 | 10% |
| Wc Michigan | $6 | 10% |
| Wc Michigan Millers Mutual | $6 | 10% |
| Wc Mitchell Frankenmuth | $6 | 10% |
| Wc Mra | $6 | 10% |
| Wc Nationwide | $6 | 10% |
| Wc Nca Comp | $6 | 10% |
| Wc New York | $6 | 10% |
| Wc New York Special Funds | $6 | 10% |
| Wc North American Rishces | $6 | 10% |
| Wc Northeast Health | $6 | 10% |
| Wc Notre Dame | $6 - $227 | 10% |
| Wc Novanet | $6 | 10% |
| Wc O'Hara Corp | $6 | 10% |
| Wc Occ Health Allen | $6 | 10% |
| Wc Ohio Bureau | $6 | 10% |
| Wc One Call Medical | $6 | 10% |
| Wc Paradigm | $6 | 10% |
| Wc Peerless | $6 | 10% |
| Wc Pma | $6 | 10% |
| Wc Praxis Health Network | $6 | 10% |
| Wc Price Chopper | $6 | 10% |
| Wc Procura Management | $6 | 10% |
| Wc Qualcare | $6 | 10% |
| Wc Quiktrip | $6 | 10% |
| Wc Reny Company | $6 | 10% |
| Wc Rev Claims | $6 | 10% |
| Wc Risico | $6 | 10% |
| Wc Rural Mutual | $6 | 10% |
| Wc Saif Oregon | $6 | 10% |
| Wc Secura | $6 | 10% |
| Wc Sedgwick | $6 | 10% |
| Wc Sentry | $6 | 10% |
| Wc Sheakley Unicomp | $6 | 10% |
| Wc Smile Lodge | $6 | 10% |
| Wc Society | $6 | 10% |
| Wc Srs | $6 | 10% |
| Wc Taconic (Mro) | $6 | 10% |
| Wc Taconic Farms | $6 | 10% |
| Wc Travelers | $6 | 10% |
| Wc Triad Group | $6 | 10% |
| Wc Tristar | $6 | 10% |
| Wc Troy Ny | $6 | 10% |
| Wc Tyson | $6 | 10% |
| Wc Unified Health Services | $6 | 10% |
| Wc United Heartland | $6 | 10% |
| Wc Us Dept Of Labor | $6 | 10% |
| Wc Velocity | $6 | 10% |
| Wc Walmart | $6 | 10% |
| Wc West Bend | $6 | 10% |
| Wc West Bend Mutual/Argent | $6 | 10% |
| Wc Winnebago Industries | $6 | 10% |
| Wc Yankee Trails | $6 | 10% |
| Wc York Risk | $6 | 10% |
| Wc Zenith | $6 | 10% |
| Wc Zurich | $6 | 10% |
| Welbe Health | $6 | 10% |
| Wellmed | $6 | 10% |
| Wellsense Health Plan | $6 | 10% |
| Wi Womens Wellness | $6 | 10% |
| Christian Brother Services | $7 - $268 | 12% |
| Meritain | $7 - $268 | 12% |
| Preferred One | $7 - $268 | 12% |
| Provider Partners Health Plan Of Indiana | $7 - $3,675 | 12% |
| Caresource | $8 - $5,178 | 13% |
| Bureau Of Disability | $10 | 17% |
| Ameriben | $11 - $248 | 18% |
| Allied Benefit Systems | $12 - $6,347 | 20% |
| Auxiant | $12 - $7,182 | 20% |
| Benefit Administrative Systems,Llc | $12 | 20% |
| Custom Design Benefits | $12 - $7,182 | 20% |
| Encore Health | $12 - $257 | 20% |
| Key Benefit Administrator | $12 - $7,182 | 20% |
| Luminare Health (Detroit) | $12 - $248 | 20% |
| Physicians Health Plan Northern Indiana Health Insurance | $12 - $10,089 | 20% |
| Geha | $13 - $263 | 22% |
| Sagamore Health Network | $13 - $306 | 22% |
| Signature Care | $13 - $330 | 22% |
| Community Health Alliance | $16 | 27% |
| Phcs | $16 | 27% |
| Bcn Domestic | $18 | 30% |
| Blue Benefit Administrators Of Massachusetts | $18 - $11,794 | 30% |
| Blue Care Network | $18 - $11,794 | 30% |
| Blue Distinction Transplant | $18 - $11,794 | 30% |
| Blue Shield - Ca | $18 - $11,794 | 30% |
| Blue Shield - Id (Regence) | $18 - $11,794 | 30% |
| Blue Shield - Ny Highmark Northeastern | $18 - $11,794 | 30% |
| Blue Shield - Ny Highmark Western | $18 - $11,794 | 30% |
| Blue Shield - Pa (Highmark) | $18 - $11,794 | 30% |
| Blue Shield - Wa (Regence) | $18 - $11,794 | 30% |
| Health Choices | $18 | 30% |
| Kaiser Domestic | $18 | 30% |
| Plain Church Group | $18 - $112 | 30% |
| Pre-Employment | $18 | 30% |
| Wc Domestic | $18 | 30% |
| Wc Encore Health Network | $18 | 30% |
| Siho Insurance Services | $100 - $5,345 | 166% |
| Hospice Of Marshall County | $107 | 178% |
| Hospice Of St Joseph County | $107 | 178% |
| Notre Dame Athletic Association | $227 | 377% |
| Indiana Criminal Justice Inst | $257 | 426% |
| Western & Southern Financial Group | $257 | 426% |
| Healthscope | $263 | 436% |
| Student Insurance Cma | $263 | 436% |
| Group Administrators | $264 | 438% |
| Health Partners | $264 | 438% |
| Mvp | $264 | 438% |
| Prairie States | $264 | 438% |
| Priority Health | $264 | 438% |
| Professional Benefit Administrators | $264 | 438% |
| Sisco Benefits | $264 | 438% |
| Unified Group Services | $264 | 438% |
| Asr Health Benefits | $268 | 445% |
| Employee Benefit Management | $268 | 445% |
| Medical Mutual | $268 | 445% |
| Rural Carrier Health Benefit Plan | $268 | 445% |
| Webtpa | $268 | 445% |
| Goshen Preferred Network | $318 - $355 | 528% |
| Christian Brothers Holy Cross | $330 | 548% |
| Bankers Life Casualty | $413 | 685% |