CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Munson Healthcare Grayling Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $59
Cash Discount Price: $225
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Munson Healthcare Grayling Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $225 (373%)

Insurance Median: $59 (98%)

Cash: $225 (373% of Medicare)

Ins. Median: $59 (98% 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.

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
Aetna	$6 - $201	10%
Atrium King Centre Skilled Nursing Services	$6 - $59	10%
Blue Care Network	$6 - $59	10%
Hap (Health Alliance Plan)	$6 - $212	10%
Humana	$6 - $59	10%
Mclaren Health Plan	$6 - $148	10%
Medicare (plans)	$6 - $59	10%
Molina	$6 - $63	10%
Northern Michigan Mennonite Group	$6 - $59	10%
Priority Health	$6 - $59	10%
Promedica	$6 - $59	10%
UnitedHealthcare	$6 - $159	10%
Wellcare (Meridian)	$6 - $59	10%
Wellspring Lutheran Services Skilling Nursing Services	$6 - $59	10%
Michigan Amish Medical Board	$7 - $59	12%
Blue Cross Blue Shield	$8 - $31	13%
Cigna	$9 - $20	15%
Cofinity	$9 - $207	15%
Provider Network Of America Group Health	$9 - $225	15%
Asr/Physicians Care	$10 - $212	17%
Nomi Health	$10 - $212	17%
Employee Benefits Logistics	$11 - $100	18%
Meridian	$31	51%
Hospice Of Michigan	$159	264%
Munson Hospice	$186 - $852	309%
Medical Cost Savings Solution	$212	352%
The Robbins Group And Regency Employee Benefits	$212	352%
Wds Enterprise Group Planning	$212	352%
First Health/Coventry Network	$225	373%
Three Rivers Provider Network	$225	373%

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 $225.
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 Munson Healthcare Grayling Hospital 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.