CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Trinity Health Muskegon Hospital
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $96
- Cash Discount Price: $133
- vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Trinity Health Muskegon Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.59x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$133
Average discount available for prompt cash payment at this facility.
Insurance Median
$96
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: $133 (221%)
Insurance Median: $96 (159%)
Cash: $133 (221% of Medicare)
Ins. Median: $96 (159% 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 |
|---|---|---|
| U Of M Health Plan | $14 - $101 | 23% |
| Blue Cross Blue Shield | $33 - $2,993 | 55% |
| Medicaid / KanCare | $33 - $376 | 55% |
| Bcn Domestic | $40 - $2,993 | 66% |
| Blue Benefit Administrators Of Massachusetts | $40 - $2,993 | 66% |
| Blue Care Network | $40 - $2,993 | 66% |
| Blue Distinction Transplant | $40 - $2,993 | 66% |
| Blue Shield - Ca | $40 - $2,993 | 66% |
| Blue Shield - Id (Regence) | $40 - $2,993 | 66% |
| Blue Shield - Ny Highmark Northeastern | $40 - $2,993 | 66% |
| Blue Shield - Ny Highmark Western | $40 - $2,993 | 66% |
| Blue Shield - Pa (Highmark) | $40 - $2,993 | 66% |
| Blue Shield - Wa (Regence) | $40 - $2,993 | 66% |
| Health Choices | $40 - $2,993 | 66% |
| Kaiser Domestic | $40 - $2,993 | 66% |
| Access Health | $44 - $494 | 73% |
| Aetna | $54 - $691 | 90% |
| Blue Care Network Advantage | $62 - $691 | 103% |
| Medicare (plans) | $62 - $691 | 103% |
| Align Senior Care | $63 - $705 | 105% |
| Correctional Recovery | $63 - $705 | 105% |
| Heartland Hospice | $63 - $705 | 105% |
| Hospice Harbor Hospice | $63 - $705 | 105% |
| UnitedHealthcare | $65 - $726 | 108% |
| Acs Benefit Services | $67 | 111% |
| Allied Benefit Systems | $67 | 111% |
| Claimchoice Adminstrators | $67 | 111% |
| Consociate | $67 | 111% |
| Cypress Benefit Administrators | $67 | 111% |
| Forest County Potawatomi | $67 | 111% |
| Health Smart | $67 | 111% |
| Healthgram | $67 | 111% |
| Healthscope | $67 | 111% |
| Preferred One | $67 | 111% |
| Secureone Preferred United Plans | $67 | 111% |
| Sisco Benefits | $67 | 111% |
| The Health Plan | $67 | 111% |
| Trustmark Small Business Benefits | $67 | 111% |
| Unified Group Services | $67 | 111% |
| Webtpa | $67 | 111% |
| Asr Health Benefits | $68 | 113% |
| Hap | $68 - $101 | 113% |
| Wc Accident Fund | $68 | 113% |
| Wc Advantage | $68 | 113% |
| Wc Aig | $68 | 113% |
| Wc Allied | $68 | 113% |
| Wc Amerisure | $68 | 113% |
| Wc Amtrust | $68 | 113% |
| Wc Asu Risk Mgt | $68 | 113% |
| Wc Berkley Admin | $68 | 113% |
| Wc Broadspire | $68 | 113% |
| Wc Bunch & Associates | $68 | 113% |
| Wc Ccmsi | $68 | 113% |
| Wc Emc Insurance Company | $68 | 113% |
| Wc Esis | $68 | 113% |
| Wc Fcci | $68 | 113% |
| Wc Federated | $68 | 113% |
| Wc Gallagher Bassett | $68 | 113% |
| Wc Genex Care For Ohio | $68 | 113% |
| Wc Guard Insurance Company | $68 | 113% |
| Wc Hartford | $68 | 113% |
| Wc Liberty Mutual | $68 | 113% |
| Wc Meijers | $68 | 113% |
| Wc Michigan | $68 | 113% |
| Wc Mitchell Frankenmuth | $68 | 113% |
| Wc Pma | $68 | 113% |
| Wc Sedgwick | $68 | 113% |
| Wc Sentry | $68 | 113% |
| Wc Travelers | $68 | 113% |
| Wc Tristar | $68 | 113% |
| Wc Walmart | $68 | 113% |
| Wc Zurich | $68 | 113% |
| Hospice Of Michigan | $70 | 116% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $71 - $795 | 118% |
| Nomi Health | $72 | 119% |
| Varipro | $74 | 123% |
| Caresource | $81 | 134% |
| Cigna | $81 | 134% |
| Oscar | $81 - $903 | 134% |
| Molina Marketplace | $82 - $917 | 136% |
| Geha | $87 - $113 | 144% |
| Meritain | $87 | 144% |
| 1199 National Benefit Fund | $96 | 159% |
| Allied National Global Care | $96 | 159% |
| Asrm - Reliance Standard Life Insurance | $96 | 159% |
| Christian Care Ministry | $96 | 159% |
| Dean Health | $96 | 159% |
| Fallon Health | $96 | 159% |
| Family Life Insurance Company | $96 | 159% |
| Ghc Scw | $96 | 159% |
| Group Pension Administrators | $96 | 159% |
| International Benefit Administrators | $96 | 159% |
| Lifetime Benefit Solutions | $96 | 159% |
| Manhattan Life | $96 | 159% |
| Medi Share | $96 | 159% |
| Multiplan | $96 | 159% |
| Mvp | $96 | 159% |
| Pai | $96 | 159% |
| Pan-American Life | $96 | 159% |
| Paramount Hmo | $96 | 159% |
| Phcs | $96 | 159% |
| Trinity Health Share | $96 | 159% |
| Vitalcore | $98 - $1,093 | 163% |
| Wellpath | $98 - $1,093 | 163% |
| Acclaim | $101 | 168% |
| Administrative Concepts | $101 | 168% |
| Allegeant | $101 | 168% |
| Ameriben | $101 | 168% |
| American Family | $101 | 168% |
| American Healthcare Alliance | $101 | 168% |
| American Republic | $101 | 168% |
| Amerihealth | $101 | 168% |
| Aultcare | $101 | 168% |
| Automated Benefit Services | $101 | 168% |
| Auxiant | $101 | 168% |
| Benefit Administrative Systems,Llc | $101 | 168% |
| Boon Chapman | $101 | 168% |
| Cam Administrative Services | $101 | 168% |
| Christian Brother Services | $101 | 168% |
| Christian Brothers Holy Cross | $101 | 168% |
| Comprehensive Benefits | $101 | 168% |
| Continental Life Insurance | $101 | 168% |
| Custom Benefit Administrators | $101 | 168% |
| Employee Benefit Concepts | $101 | 168% |
| Employee Benefit Management | $101 | 168% |
| Enterprise Group Planning | $101 | 168% |
| Freedom Life Insurance Company | $101 | 168% |
| Group Administrators | $101 | 168% |
| Group Marketing Services | $101 | 168% |
| Guardian | $101 | 168% |
| Health America | $101 | 168% |
| Healthez | $101 | 168% |
| Humana | $101 | 168% |
| Insight | $101 | 168% |
| Intercare | $101 | 168% |
| Jfp Benefit Management | $101 | 168% |
| Jp Farley Corporation | $101 | 168% |
| Key Benefit Administrator | $101 | 168% |
| Liberty Union Life Assurance Co | $101 | 168% |
| Lucent Health | $101 | 168% |
| Luminare Health | $101 | 168% |
| Luminare Health (Detroit) | $101 | 168% |
| Medben | $101 | 168% |
| Medcost | $101 | 168% |
| Medical Mutual | $101 | 168% |
| Mutual Health Services | $101 | 168% |
| Mutual Of Omaha | $101 | 168% |
| Ncas | $101 | 168% |
| Nippon Life Ins | $101 | 168% |
| Nova | $101 | 168% |
| Painters Union Insurance Fund | $101 | 168% |
| Physicians Mutual | $101 | 168% |
| Plumbers Local 98 Insurance Fund | $101 | 168% |
| Prairie States | $101 | 168% |
| Primary Physician Care | $101 | 168% |
| Professional Benefit Administrators | $101 | 168% |
| The Loomis Company | $101 | 168% |
| Unicare | $101 | 168% |
| Us Health And Life | $101 | 168% |
| Valenz | $101 | 168% |
| Western & Southern Financial Group | $101 | 168% |
| Wps | $101 | 168% |
| First Health | $105 | 174% |
| Priority Health | $127 - $1,244 | 211% |
| Barinet | $128 | 212% |
| Cmh Allegan County | $128 | 212% |
| Cmh Barry County | $128 | 212% |
| Cmh Berrien County | $128 | 212% |
| Cmh Cass County | $128 | 212% |
| Cmh Kalamazoo | $128 | 212% |
| Cmh Kent County | $128 | 212% |
| Cmh Misc | $128 | 212% |
| Cmh Muskegon County | $128 | 212% |
| Cmh North Country | $128 | 212% |
| Cmh Northern Lakes County | $128 | 212% |
| Cmh Ottawa County | $128 | 212% |
| Cmh Van Buren County | $128 | 212% |
| Cmh West Mi County | $128 | 212% |