CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Chelsea Hospital
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $164
- Cash Discount Price: $307
- vs. Medicare Baseline: 2.72x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Chelsea Hospital is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.72x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$307
Average discount available for prompt cash payment at this facility.
Insurance Median
$164
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: $307 (509%)
Insurance Median: $164 (272%)
Cash: $307 (509% of Medicare)
Ins. Median: $164 (272% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 272% of the Medicare baseline (a markup of 172%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $10 - $5,256 | 17% |
| U Of M Health Plan | $14 | 23% |
| Bcn Domestic | $16 | 27% |
| Blue Benefit Administrators Of Massachusetts | $16 | 27% |
| Blue Care Network | $16 | 27% |
| Blue Distinction Transplant | $16 | 27% |
| Blue Shield - Ca | $16 | 27% |
| Blue Shield - Id (Regence) | $16 | 27% |
| Blue Shield - Ny Highmark Northeastern | $16 | 27% |
| Blue Shield - Ny Highmark Western | $16 | 27% |
| Blue Shield - Pa (Highmark) | $16 | 27% |
| Blue Shield - Wa (Regence) | $16 | 27% |
| Health Choices | $16 - $164 | 27% |
| Kaiser Domestic | $16 | 27% |
| Asr Health Benefits | $28 | 46% |
| Caresource | $28 | 46% |
| Hap | $28 - $191 | 46% |
| Varipro | $28 | 46% |
| Medicaid / KanCare | $33 - $3,054 | 55% |
| Aetna | $58 - $5,256 | 96% |
| Blue Care Network Advantage | $58 - $5,256 | 96% |
| Medicare (plans) | $58 - $5,363 | 96% |
| Align Senior Care | $59 - $5,363 | 98% |
| Angela Hospice | $59 - $5,363 | 98% |
| Arbor Hospice | $59 - $5,363 | 98% |
| Heartland Hospice | $59 - $5,363 | 98% |
| UnitedHealthcare | $61 - $5,524 | 101% |
| Cca - Zing Health | $62 - $5,676 | 103% |
| Wc Accident Fund | $65 | 108% |
| Wc Advantage | $65 | 108% |
| Wc Aig | $65 | 108% |
| Wc Allied | $65 | 108% |
| Wc Amerisure | $65 | 108% |
| Wc Amtrust | $65 | 108% |
| Wc Asu Risk Mgt | $65 | 108% |
| Wc Berkley Admin | $65 | 108% |
| Wc Broadspire | $65 | 108% |
| Wc Bunch & Associates | $65 | 108% |
| Wc Ccmsi | $65 | 108% |
| Wc Emc Insurance Company | $65 | 108% |
| Wc Esis | $65 | 108% |
| Wc Fcci | $65 | 108% |
| Wc Federated | $65 | 108% |
| Wc Gallagher Bassett | $65 | 108% |
| Wc Genex Care For Ohio | $65 | 108% |
| Wc Guard Insurance Company | $65 | 108% |
| Wc Hartford | $65 | 108% |
| Wc Liberty Mutual | $65 | 108% |
| Wc Meijers | $65 | 108% |
| Wc Michigan | $65 | 108% |
| Wc Mitchell Frankenmuth | $65 | 108% |
| Wc Pma | $65 | 108% |
| Wc Sedgwick | $65 | 108% |
| Wc Sentry | $65 | 108% |
| Wc Travelers | $65 | 108% |
| Wc Tristar | $65 | 108% |
| Wc Walmart | $65 | 108% |
| Wc Zurich | $65 | 108% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $66 - $6,044 | 110% |
| Priority Health | $66 - $73 | 110% |
| Molina Marketplace | $77 - $6,972 | 128% |
| Health Cost Solutions | $91 - $8,312 | 151% |
| Vitalcore | $91 - $8,312 | 151% |
| Wellpath | $91 - $8,312 | 151% |
| Employee Benefit Logistic | $133 - $12,067 | 221% |
| Geha | $135 - $165 | 224% |
| Meritain | $135 | 224% |
| Access Health | $164 | 272% |
| Acclaim | $164 | 272% |
| Administrative Concepts | $164 | 272% |
| Allegeant | $164 | 272% |
| Ameriben | $164 | 272% |
| American Family | $164 | 272% |
| American Healthcare Alliance | $164 | 272% |
| American National | $164 | 272% |
| American Republic | $164 | 272% |
| Amerihealth | $164 | 272% |
| Aultcare | $164 | 272% |
| Automated Benefit Services | $164 | 272% |
| Auxiant | $164 | 272% |
| Benefit Administrative Systems,Llc | $164 | 272% |
| Boon Chapman | $164 | 272% |
| Cam Administrative Services | $164 | 272% |
| Christian Brother Services | $164 | 272% |
| Christian Brothers Holy Cross | $164 | 272% |
| Comprehensive Benefits | $164 | 272% |
| Continental Life Insurance | $164 | 272% |
| Custom Benefit Administrators | $164 | 272% |
| Employee Benefit Concepts | $164 | 272% |
| Employee Benefit Management | $164 | 272% |
| Enterprise Group Planning | $164 | 272% |
| Freedom Life Insurance Company | $164 | 272% |
| Group Administrators | $164 | 272% |
| Group Marketing Services | $164 | 272% |
| Guardian | $164 | 272% |
| Health America | $164 | 272% |
| Healthcare Management Admin | $164 | 272% |
| Healthez | $164 | 272% |
| Humana | $164 | 272% |
| Insight | $164 | 272% |
| Intercare | $164 | 272% |
| Jfp Benefit Management | $164 | 272% |
| Jp Farley Corporation | $164 | 272% |
| Key Benefit Administrator | $164 | 272% |
| Liberty Union Life Assurance Co | $164 | 272% |
| Lucent Health | $164 | 272% |
| Luminare Health | $164 | 272% |
| Luminare Health (Detroit) | $164 | 272% |
| Magnacare | $164 | 272% |
| Medben | $164 | 272% |
| Medcost | $164 | 272% |
| Medical Mutual | $164 | 272% |
| Mutual Health Services | $164 | 272% |
| Mutual Of Omaha | $164 | 272% |
| Ncas | $164 | 272% |
| Nippon Life Ins | $164 | 272% |
| Nova | $164 | 272% |
| Painters Union Insurance Fund | $164 | 272% |
| Physicians Mutual | $164 | 272% |
| Plumbers Local 98 Insurance Fund | $164 | 272% |
| Prairie States | $164 | 272% |
| Preferred One | $164 | 272% |
| Primary Physician Care | $164 | 272% |
| Professional Benefit Administrators | $164 | 272% |
| Siho Insurance Services | $164 | 272% |
| Sisco Benefits | $164 | 272% |
| The Loomis Company | $164 | 272% |
| Unicare | $164 | 272% |
| Us Health And Life | $164 | 272% |
| Valenz | $164 | 272% |
| Western & Southern Financial Group | $164 | 272% |
| Wps | $164 | 272% |
| Coventry | $168 | 279% |
| First Health | $168 | 279% |
| Hospice Of Michigan | $172 | 285% |
| Cigna | $174 | 289% |
| 1199 National Benefit Fund | $184 | 305% |
| Allied National Global Care | $184 | 305% |
| Asrm - Reliance Standard Life Insurance | $184 | 305% |
| Christian Care Ministry | $184 | 305% |
| Dean Health | $184 | 305% |
| Fallon Health | $184 | 305% |
| Family Life Insurance Company | $184 | 305% |
| Ghc Scw | $184 | 305% |
| Group Pension Administrators | $184 | 305% |
| International Benefit Administrators | $184 | 305% |
| Lifetime Benefit Solutions | $184 | 305% |
| Manhattan Life | $184 | 305% |
| Medi Share | $184 | 305% |
| Multiplan | $184 | 305% |
| Mvp | $184 | 305% |
| Pai | $184 | 305% |
| Pan-American Life | $184 | 305% |
| Paramount Hmo | $184 | 305% |
| Phcs | $184 | 305% |
| Trinity Health Share | $184 | 305% |
| Health Partners | $191 | 317% |
| Tufts Health Plan | $191 | 317% |
| Prime Health Services | $197 | 327% |
| Three Rivers Provider Network | $221 | 367% |
| Cmh Detroit Wayne Integrated Health Network | $246 | 408% |
| Cmh Jackson County/Lifeways | $246 | 408% |
| Cmh Lenawee County | $246 | 408% |
| Cmh Livingston County | $246 | 408% |
| Cmh Misc | $246 | 408% |
| Cmh Monroe County | $246 | 408% |
| Cmh Washtenaw County | $246 | 408% |
| Magellan Behavioral Health | $246 | 408% |