CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Mercy Health Saint Mary's
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $70
- Cash Discount Price: $124
- vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mercy Health Saint Mary's is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.16x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$124
Average discount available for prompt cash payment at this facility.
Insurance Median
$70
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: $124 (206%)
Insurance Median: $70 (116%)
Cash: $124 (206% of Medicare)
Ins. Median: $70 (116% 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 |
|---|---|---|
| U Of M Health Plan | $14 - $262 | 23% |
| Bcn Domestic | $18 - $312 | 30% |
| Blue Benefit Administrators Of Massachusetts | $18 - $312 | 30% |
| Blue Care Network | $18 - $312 | 30% |
| Blue Cross Blue Shield | $18 - $312 | 30% |
| Blue Distinction Transplant | $18 - $312 | 30% |
| Blue Shield - Ca | $18 - $312 | 30% |
| Blue Shield - Id (Regence) | $18 - $312 | 30% |
| Blue Shield - Ny Highmark Northeastern | $18 - $312 | 30% |
| Blue Shield - Ny Highmark Western | $18 - $312 | 30% |
| Blue Shield - Pa (Highmark) | $18 - $312 | 30% |
| Blue Shield - Wa (Regence) | $18 - $312 | 30% |
| Health Choices | $18 - $312 | 30% |
| Kaiser Domestic | $18 - $312 | 30% |
| Medicaid / KanCare | $33 - $76 | 55% |
| Aetna | $35 - $130 | 58% |
| Access Health | $41 - $93 | 68% |
| Wc Accident Fund | $43 - $70 | 71% |
| Wc Advantage | $43 - $70 | 71% |
| Wc Aig | $43 - $70 | 71% |
| Wc Allied | $43 - $70 | 71% |
| Wc Amerisure | $43 - $70 | 71% |
| Wc Amtrust | $43 - $70 | 71% |
| Wc Asu Risk Mgt | $43 - $70 | 71% |
| Wc Berkley Admin | $43 - $70 | 71% |
| Wc Broadspire | $43 - $70 | 71% |
| Wc Bunch & Associates | $43 - $70 | 71% |
| Wc Ccmsi | $43 - $70 | 71% |
| Wc Emc Insurance Company | $43 - $70 | 71% |
| Wc Esis | $43 - $70 | 71% |
| Wc Fcci | $43 - $70 | 71% |
| Wc Federated | $43 - $70 | 71% |
| Wc Gallagher Bassett | $43 - $70 | 71% |
| Wc Genex Care For Ohio | $43 - $70 | 71% |
| Wc Guard Insurance Company | $43 - $70 | 71% |
| Wc Hartford | $43 - $70 | 71% |
| Wc Liberty Mutual | $43 - $70 | 71% |
| Wc Meijers | $43 - $70 | 71% |
| Wc Michigan | $43 - $70 | 71% |
| Wc Mitchell Frankenmuth | $43 - $70 | 71% |
| Wc Pma | $43 - $70 | 71% |
| Wc Sedgwick | $43 - $70 | 71% |
| Wc Sentry | $43 - $70 | 71% |
| Wc Travelers | $43 - $70 | 71% |
| Wc Tristar | $43 - $70 | 71% |
| Wc Walmart | $43 - $70 | 71% |
| Wc Zurich | $43 - $70 | 71% |
| Nomi Health | $44 - $72 | 73% |
| Acs Benefit Services | $45 - $74 | 75% |
| Allied Benefit Systems | $45 - $74 | 75% |
| Claimchoice Adminstrators | $45 - $74 | 75% |
| Consociate | $45 - $74 | 75% |
| Cypress Benefit Administrators | $45 - $74 | 75% |
| Forest County Potawatomi | $45 - $74 | 75% |
| Health Smart | $45 - $74 | 75% |
| Healthgram | $45 - $74 | 75% |
| Healthscope | $45 - $74 | 75% |
| Secureone Preferred United Plans | $45 - $74 | 75% |
| Sisco Benefits | $45 - $74 | 75% |
| The Health Plan | $45 - $74 | 75% |
| Trustmark Small Business Benefits | $45 - $74 | 75% |
| Unified Group Services | $45 - $74 | 75% |
| Webtpa | $45 - $74 | 75% |
| Asr Health Benefits | $50 - $81 | 83% |
| Geha | $50 - $97 | 83% |
| Hap | $50 - $99 | 83% |
| Medical Mutual | $50 - $80 | 83% |
| Meritain | $50 - $80 | 83% |
| Preferred One | $50 - $80 | 83% |
| Varipro | $51 - $83 | 85% |
| Caresource | $52 - $84 | 86% |
| 1199 National Benefit Fund | $58 - $93 | 96% |
| Allied National Global Care | $58 - $93 | 96% |
| Asrm - Reliance Standard Life Insurance | $58 - $93 | 96% |
| Blue Care Network Advantage | $58 - $130 | 96% |
| Christian Care Ministry | $58 - $93 | 96% |
| Cigna | $58 - $93 | 96% |
| Dean Health | $58 - $93 | 96% |
| Fallon Health | $58 - $93 | 96% |
| Family Life Insurance Company | $58 - $93 | 96% |
| Ghc Scw | $58 - $93 | 96% |
| Group Pension Administrators | $58 - $93 | 96% |
| International Benefit Administrators | $58 - $93 | 96% |
| Lifetime Benefit Solutions | $58 - $93 | 96% |
| Manhattan Life | $58 - $93 | 96% |
| Medi Share | $58 - $93 | 96% |
| Medicare (plans) | $58 - $130 | 96% |
| Multiplan | $58 - $93 | 96% |
| Mvp | $58 - $93 | 96% |
| Pai | $58 - $93 | 96% |
| Pan-American Life | $58 - $93 | 96% |
| Paramount Hmo | $58 - $93 | 96% |
| Phcs | $58 - $93 | 96% |
| Trinity Health Share | $58 - $93 | 96% |
| Align Senior Care | $59 - $133 | 98% |
| Correctional Recovery | $59 - $133 | 98% |
| Hospice Faith | $59 - $133 | 98% |
| Hospice Of Holland | $59 - $133 | 98% |
| Acclaim | $60 - $97 | 100% |
| Administrative Concepts | $60 - $97 | 100% |
| Allegeant | $60 - $97 | 100% |
| Ameriben | $60 - $97 | 100% |
| American Family | $60 - $97 | 100% |
| American Healthcare Alliance | $60 - $97 | 100% |
| American Republic | $60 - $97 | 100% |
| Amerihealth | $60 - $97 | 100% |
| Aultcare | $60 - $97 | 100% |
| Automated Benefit Services | $60 - $97 | 100% |
| Auxiant | $60 - $97 | 100% |
| Benefit Administrative Systems,Llc | $60 - $97 | 100% |
| Boon Chapman | $60 - $97 | 100% |
| Cam Administrative Services | $60 - $97 | 100% |
| Christian Brother Services | $60 - $97 | 100% |
| Christian Brothers Holy Cross | $60 - $97 | 100% |
| Comprehensive Benefits | $60 - $97 | 100% |
| Continental Life Insurance | $60 - $97 | 100% |
| Custom Benefit Administrators | $60 - $97 | 100% |
| Employee Benefit Concepts | $60 - $97 | 100% |
| Employee Benefit Management | $60 - $97 | 100% |
| Enterprise Group Planning | $60 - $97 | 100% |
| Freedom Life Insurance Company | $60 - $97 | 100% |
| Group Administrators | $60 - $97 | 100% |
| Group Marketing Services | $60 - $97 | 100% |
| Guardian | $60 - $97 | 100% |
| Health America | $60 - $97 | 100% |
| Healthez | $60 - $97 | 100% |
| Humana | $60 - $128 | 100% |
| Insight | $60 - $97 | 100% |
| Intercare | $60 - $97 | 100% |
| Jfp Benefit Management | $60 - $97 | 100% |
| Jp Farley Corporation | $60 - $97 | 100% |
| Key Benefit Administrator | $60 - $97 | 100% |
| Liberty Union Life Assurance Co | $60 - $97 | 100% |
| Lucent Health | $60 - $97 | 100% |
| Luminare Health | $60 - $97 | 100% |
| Luminare Health (Detroit) | $60 - $97 | 100% |
| Medben | $60 - $97 | 100% |
| Medcost | $60 - $97 | 100% |
| Mutual Health Services | $60 - $97 | 100% |
| Mutual Of Omaha | $60 - $97 | 100% |
| Ncas | $60 - $97 | 100% |
| Nippon Life Ins | $60 - $97 | 100% |
| Nova | $60 - $97 | 100% |
| Painters Union Insurance Fund | $60 - $97 | 100% |
| Physicians Mutual | $60 - $97 | 100% |
| Plumbers Local 98 Insurance Fund | $60 - $97 | 100% |
| Prairie States | $60 - $97 | 100% |
| Primary Physician Care | $60 - $97 | 100% |
| Professional Benefit Administrators | $60 - $97 | 100% |
| The Loomis Company | $60 - $97 | 100% |
| Unicare | $60 - $97 | 100% |
| UnitedHealthcare | $60 - $137 | 100% |
| Us Health And Life | $60 - $97 | 100% |
| Valenz | $60 - $97 | 100% |
| Western & Southern Financial Group | $60 - $97 | 100% |
| Wps | $60 - $97 | 100% |
| Coventry | $63 - $101 | 105% |
| First Health | $63 - $101 | 105% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $66 - $150 | 110% |
| Oscar | $75 - $170 | 124% |
| Molina Marketplace | $76 - $172 | 126% |
| Cmh Allegan County | $79 - $128 | 131% |
| Cmh Ausable Valley | $79 - $128 | 131% |
| Cmh Barry County | $79 - $128 | 131% |
| Cmh Berrien County | $79 - $128 | 131% |
| Cmh Cass County | $79 - $128 | 131% |
| Cmh Clinton-Eaton-Ingham County | $79 - $128 | 131% |
| Cmh Kalamazoo | $79 - $128 | 131% |
| Cmh Kent County | $79 - $128 | 131% |
| Cmh Lenawee County | $79 - $128 | 131% |
| Cmh Misc | $79 - $128 | 131% |
| Cmh Monroe County | $79 - $128 | 131% |
| Cmh Montcalm County | $79 - $128 | 131% |
| Cmh Muskegon County | $79 - $128 | 131% |
| Cmh Newaygo County | $79 - $128 | 131% |
| Cmh North Country | $79 - $128 | 131% |
| Cmh Northern Lakes County | $79 - $128 | 131% |
| Cmh Ottawa County | $79 - $128 | 131% |
| Cmh Van Buren County | $79 - $128 | 131% |
| Cmh West Mi County | $79 - $128 | 131% |
| Magellan Behavioral Health | $79 - $128 | 131% |
| Priority Health | $79 - $144 | 131% |
| Vitalcore | $91 - $206 | 151% |
| Wellpath | $91 - $206 | 151% |