CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Holland Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $59
Cash Discount Price: $55
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Holland Community Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.

Cash / Self-Pay

$55

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: $55 (91%)

Insurance Median: $59 (98%)

Cash: $55 (91% 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
Molina Mcaid - All Plans	$7 - $52	12%
Ph Mcaid	$7 - $52	12%
Nomi Health - All Plans	$13 - $89	22%
Aetna	$16 - $129	27%
Cofinity -All Plans	$16 - $113	27%
Multiplan - All Plans	$20 - $140	33%
Benefit Source Inc-All Plans	$21 - $145	35%
First Health-All Plans	$21 - $145	35%
Usa Managed Care-All Plans	$21 - $145	35%
Integrated Health Plans-All Plans	$22 - $153	37%
UnitedHealthcare	$23 - $161	38%
Cigna	$25	41%
Priority Health - All Other Plans	$27	45%
Blue Cross Blue Shield	$30	50%
Life Circles-All Plans	$56	93%
Health Alliance Mcr Adv	$59	98%
Ph Mcr Adv	$59	98%
Va Ccn - All Plans	$59	98%
Longevity Health Plan-All Plans	$63	105%
Health Alliance Hmo	$133	221%
Sisco Epi	$134	222%
Sisco-All Other Plans	$134	222%
Asr - All Plans	$139	231%
Health Alliance Ahl - All Other Plans	$139	231%

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 $55.
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 Holland Community 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.