CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: University of Michigan Health - West

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $35
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at University of Michigan Health - West is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.58x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.
Cash / Self-Pay
$21

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $21 (35%)
Insurance Median: $35 (58%)
Cash: $21 (35% of Medicare)
Ins. Median: $35 (58% 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
Medicaid / KanCare $4 - $32 7%
Priority Health $8 - $18 13%
Web Tpa $8 - $38 13%
Aetna $12 - $57 20%
Alliance Health & Life Ppo $12 - $57 20%
Asr Physicians $12 - $57 20%
Hap $12 - $57 20%
Golden Rule Ins $13 - $62 22%
Medica $13 - $62 22%
Student Ins/Mega Life $13 - $62 22%
UnitedHealthcare $13 - $62 22%
Humana $14 - $64 23%
Asr Cofinity $15 - $72 25%
Cofinity Commercial $15 - $72 25%
Cofinity Weyco $15 - $72 25%
Core Source $15 - $72 25%
Epoch Group $15 - $72 25%
Health Partners $15 - $72 25%
Hlthcomp Admin $15 - $72 25%
Mid America $15 - $72 25%
Molina Healthcare Of Mi $32 53%
Care Resources $54 90%
Insight Metro Care $60 100%
Medicare (plans) $60 100%
Molina Marketplace Commercial $60 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 Byron Center Avenue, Sw, Wyoming, MI 49519
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals