CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: University of Michigan Health System

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $128
Cash Discount Price: $73
vs. Medicare Baseline: 2.12x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at University of Michigan Health System is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.12x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $73 (121%)

Insurance Median: $128 (212%)

Cash: $73 (121% of Medicare)

Ins. Median: $128 (212% 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 212% of the Medicare baseline (a markup of 112%). 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
Blue Care Network Of Michigan	$36	60%
Blue Cross Blue Shield	$36	60%
Point Comfort Underwriters Unaccompanied Children Program	$79	131%
Priority Health [1038]	$84 - $119	139%
Metrocare	$86	143%
Medicaid / KanCare	$92	153%
UnitedHealthcare	$95 - $134	158%
Hap [1023]	$100 - $137	166%
Aetna	$105 - $128	174%
Confinity Advantage	$106	176%
Plain Church Group	$110	183%
Beaumont Health Network	$128	212%
Mclaren Health Plan Inc	$128	212%
Nomi Health	$128	212%
Provider Network Of America	$128	212%
First Agency	$137	227%
Parkview Health Plan Services	$137	227%
Cofinity	$139	231%
Paramount Health Care	$152	252%
Bronson Healthcare Group	$156	259%
First Health	$156	259%
Multiplan	$156	259%
Priority Health	$195	324%

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 $73.
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 University of Michigan Health System 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.