CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Henry Ford Macomb Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $56
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Henry Ford Macomb Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.93x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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%)
Insurance Median: $56 (93%)
Ins. Median: $56 (93% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $3 - $64 5%
Blue Cross Blue Shield $3 - $58 5%
Hap $3 - $67 5%
Mclaren $3 5%
Meridian Health Plan Of Mi $3 - $79 5%
Priority Health $3 - $58 5%
Wellcare $6 10%
Molina $34 - $79 56%
Cofinity Group Health $38 - $77 63%
UnitedHealthcare $52 - $58 86%
Humana $54 - $59 90%
Mclaren Health $55 - $58 91%
Pace Of Se Mi $55 91%
Bcn $58 96%
Cca Health Michigan $58 96%
Hap Caresource $58 96%
Molina Mi Health Link $58 96%
Mount Carmel Health Plan $58 96%
Multiplan, Inc. $69 114%
University Of Michigan $83 138%
Cigna $84 139%
Vitalcore Physicians Group Of Mi $134 222%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals