CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: St Joe Mercy Hospital System Livonia
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $151
- Cash Discount Price: $527
- vs. Medicare Baseline: 2.51x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at St Joe Mercy Hospital System Livonia is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $527. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.51x the Medicare baseline. Located in 36475 Five Mile Road, Livonia, MI.
Cash / Self-Pay
$527
Average discount available for prompt cash payment at this facility.
Insurance Median
$151
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: $527 (874%)
Insurance Median: $151 (251%)
Cash: $527 (874% of Medicare)
Ins. Median: $151 (251% 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 251% of the Medicare baseline (a markup of 151%). 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.
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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 |
|---|---|---|
| Blue Cross Blue Shield | $8 - $913 | 13% |
| Bcn Domestic | $12 - $913 | 20% |
| Blue Benefit Administrators Of Massachusetts | $12 - $913 | 20% |
| Blue Care Network | $12 - $913 | 20% |
| Blue Distinction Transplant | $12 - $913 | 20% |
| Blue Shield - Ca | $12 - $913 | 20% |
| Blue Shield - Id (Regence) | $12 - $913 | 20% |
| Blue Shield - Ny Highmark Northeastern | $12 - $913 | 20% |
| Blue Shield - Ny Highmark Western | $12 - $913 | 20% |
| Blue Shield - Pa (Highmark) | $12 - $913 | 20% |
| Blue Shield - Wa (Regence) | $12 - $913 | 20% |
| Health Choices | $12 - $913 | 20% |
| Kaiser Domestic | $12 - $913 | 20% |
| U Of M Health Plan | $14 | 23% |
| Asr Health Benefits | $31 | 51% |
| Caresource | $31 | 51% |
| Hap | $31 - $151 | 51% |
| Varipro | $31 | 51% |
| Medicaid / KanCare | $32 - $369 | 53% |
| Aetna | $58 - $646 | 96% |
| Blue Care Network Advantage | $58 - $646 | 96% |
| Hospice Of Michigan | $58 - $646 | 96% |
| Medicare (plans) | $58 - $692 | 96% |
| Align Senior Care | $59 - $659 | 98% |
| Angela Hospice | $59 - $659 | 98% |
| UnitedHealthcare | $61 - $679 | 101% |
| Cca - Zing Health | $62 - $697 | 103% |
| Priority Health | $62 - $946 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $66 - $743 | 110% |
| Wc Accident Fund | $69 | 114% |
| Wc Advantage | $69 | 114% |
| Wc Aig | $69 | 114% |
| Wc Allied | $69 | 114% |
| Wc Amerisure | $69 | 114% |
| Wc Amtrust | $69 | 114% |
| Wc Asu Risk Mgt | $69 | 114% |
| Wc Berkley Admin | $69 | 114% |
| Wc Broadspire | $69 | 114% |
| Wc Bunch & Associates | $69 | 114% |
| Wc Ccmsi | $69 | 114% |
| Wc Emc Insurance Company | $69 | 114% |
| Wc Esis | $69 | 114% |
| Wc Fcci | $69 | 114% |
| Wc Federated | $69 | 114% |
| Wc Gallagher Bassett | $69 | 114% |
| Wc Genex Care For Ohio | $69 | 114% |
| Wc Guard Insurance Company | $69 | 114% |
| Wc Hartford | $69 | 114% |
| Wc Liberty Mutual | $69 | 114% |
| Wc Meijers | $69 | 114% |
| Wc Michigan | $69 | 114% |
| Wc Mitchell Frankenmuth | $69 | 114% |
| Wc Pma | $69 | 114% |
| Wc Sedgwick | $69 | 114% |
| Wc Sentry | $69 | 114% |
| Wc Travelers | $69 | 114% |
| Wc Tristar | $69 | 114% |
| Wc Walmart | $69 | 114% |
| Wc Zurich | $69 | 114% |
| Molina Marketplace | $76 - $857 | 126% |
| Health Cost Solutions | $91 - $1,021 | 151% |
| Vitalcore | $91 - $1,021 | 151% |
| Wellpath | $91 - $1,021 | 151% |
| Acs Benefit Services | $105 | 174% |
| Allied Benefit Systems | $105 | 174% |
| Claimchoice Adminstrators | $105 | 174% |
| Consociate | $105 | 174% |
| Cypress Benefit Administrators | $105 | 174% |
| Forest County Potawatomi | $105 | 174% |
| Health Smart | $105 | 174% |
| Healthgram | $105 | 174% |
| Healthscope | $105 | 174% |
| Secureone Preferred United Plans | $105 | 174% |
| Sisco Benefits | $105 | 174% |
| The Health Plan | $105 | 174% |
| Trustmark Small Business Benefits | $105 | 174% |
| Unified Group Services | $105 | 174% |
| Webtpa | $105 | 174% |
| Employee Benefit Logistic | $132 - $1,482 | 219% |
| Geha | $143 - $158 | 237% |
| Luminare Health (Detroit) | $143 | 237% |
| Meritain | $143 | 237% |
| Health Partners | $151 | 251% |
| Tufts Health Plan | $151 | 251% |
| Cigna | $154 - $197 | 256% |
| Access Health | $156 | 259% |
| Acclaim | $156 | 259% |
| Administrative Concepts | $156 | 259% |
| Allegeant | $156 | 259% |
| Ameriben | $156 | 259% |
| American Family | $156 | 259% |
| American Healthcare Alliance | $156 | 259% |
| American National | $156 | 259% |
| American Republic | $156 | 259% |
| Amerihealth | $156 | 259% |
| Aultcare | $156 | 259% |
| Automated Benefit Services | $156 | 259% |
| Auxiant | $156 | 259% |
| Benefit Administrative Systems,Llc | $156 | 259% |
| Boon Chapman | $156 | 259% |
| Cam Administrative Services | $156 | 259% |
| Christian Brother Services | $156 | 259% |
| Christian Brothers Holy Cross | $156 | 259% |
| Comprehensive Benefits | $156 | 259% |
| Continental Life Insurance | $156 | 259% |
| Custom Benefit Administrators | $156 | 259% |
| Employee Benefit Concepts | $156 | 259% |
| Employee Benefit Management | $156 | 259% |
| Enterprise Group Planning | $156 | 259% |
| Freedom Life Insurance Company | $156 | 259% |
| Group Administrators | $156 | 259% |
| Group Marketing Services | $156 | 259% |
| Guardian | $156 | 259% |
| Health America | $156 | 259% |
| Healthcare Management Admin | $156 | 259% |
| Healthez | $156 | 259% |
| Humana | $156 | 259% |
| Insight | $156 | 259% |
| Intercare | $156 | 259% |
| Jfp Benefit Management | $156 | 259% |
| Jp Farley Corporation | $156 | 259% |
| Key Benefit Administrator | $156 | 259% |
| Liberty Union Life Assurance Co | $156 | 259% |
| Lucent Health | $156 | 259% |
| Luminare Health | $156 | 259% |
| Magnacare | $156 | 259% |
| Medben | $156 | 259% |
| Medcost | $156 | 259% |
| Medical Mutual | $156 | 259% |
| Mutual Health Services | $156 | 259% |
| Mutual Of Omaha | $156 | 259% |
| Ncas | $156 | 259% |
| Nippon Life Ins | $156 | 259% |
| Nova | $156 | 259% |
| Painters Union Insurance Fund | $156 | 259% |
| Physicians Mutual | $156 | 259% |
| Plumbers Local 98 Insurance Fund | $156 | 259% |
| Prairie States | $156 | 259% |
| Preferred One | $156 | 259% |
| Primary Physician Care | $156 | 259% |
| Professional Benefit Administrators | $156 | 259% |
| Siho Insurance Services | $156 | 259% |
| The Loomis Company | $156 | 259% |
| Unicare | $156 | 259% |
| Us Health And Life | $156 | 259% |
| Valenz | $156 | 259% |
| Western & Southern Financial Group | $156 | 259% |
| Wps | $156 | 259% |
| 1199 National Benefit Fund | $157 | 260% |
| Allied National Global Care | $157 | 260% |
| Asrm - Reliance Standard Life Insurance | $157 | 260% |
| Christian Care Ministry | $157 | 260% |
| Dean Health | $157 | 260% |
| Fallon Health | $157 | 260% |
| Family Life Insurance Company | $157 | 260% |
| Ghc Scw | $157 | 260% |
| Group Pension Administrators | $157 | 260% |
| International Benefit Administrators | $157 | 260% |
| Lifetime Benefit Solutions | $157 | 260% |
| Manhattan Life | $157 | 260% |
| Medi Share | $157 | 260% |
| Multiplan | $157 | 260% |
| Mvp | $157 | 260% |
| Pai | $157 | 260% |
| Pan-American Life | $157 | 260% |
| Paramount Hmo | $157 | 260% |
| Phcs | $157 | 260% |
| Trinity Health Share | $157 | 260% |
| First Health | $161 | 267% |
| Coventry | $197 | 327% |
| Prime Health Services | $197 | 327% |
| Three Rivers Provider Network | $221 | 367% |
| Carelon Behavioral Health | $246 | 408% |
| Cmh Detroit Wayne Integrated Health Network | $246 | 408% |
| Cmh Lenawee County | $246 | 408% |
| Cmh Livingston County | $246 | 408% |
| Cmh Misc | $246 | 408% |
| Cmh Monroe County | $246 | 408% |
| Cmh Washtenaw County | $246 | 408% |
| Magellan Behavioral Health | $246 | 408% |