CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Mercy Health Lakeshore Campus

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $8
  • Cash Discount Price: $179
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mercy Health Lakeshore Campus is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.13x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$179

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $179 (297%)
Insurance Median: $8 (13%)
Cash: $179 (297% of Medicare)
Ins. Median: $8 (13% 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
Aetna $4 - $102 7%
Albany County Correctional Facility $4 7%
Ambetter / Centene $4 7%
Amish Mennonite $4 7%
Ascension St. Vincent Public Safety Medical $4 7%
Bccp $4 7%
Blue Cross Blue Shield $4 - $109 7%
Bmc Healthnet $4 7%
Breast Grant-Connecticut $4 7%
Broward County Dept Of Health $4 7%
California Health And Wellness $4 7%
Can Community Health Inc $4 7%
Cardinal Innovations Lme $4 7%
Care Connections Of Northern Iowa $4 7%
Care Oregon Ohp $4 7%
Cencal Health Plan $4 7%
Cenpatico $4 7%
Chhuny $4 7%
Childrens Comm Health Plan $4 7%
Childrens Medical Services Title 19 $4 7%
Cigna $4 - $111 7%
City Of Philadelphia $4 7%
Cmh Allegan County $4 7%
Cmh Ausable Valley $4 7%
Cmh Barry County $4 7%
Cmh Bay-Arenac County $4 7%
Cmh Berrien County $4 7%
Cmh Cass County $4 7%
Cmh Central Mi County $4 7%
Cmh Clinton-Eaton-Ingham County $4 7%
Cmh Detroit Wayne Integrated Health Network $4 7%
Cmh Genesee County $4 7%
Cmh Ionia County $4 7%
Cmh Jackson County/Lifeways $4 7%
Cmh Kalamazoo $4 7%
Cmh Kent County $4 7%
Cmh Lenawee County $4 7%
Cmh Livingston County $4 7%
Cmh Macomb $4 7%
Cmh Misc $4 7%
Cmh Monroe County $4 7%
Cmh Montcalm County $4 7%
Cmh Muskegon County $4 7%
Cmh Newaygo County $4 7%
Cmh North Country $4 7%
Cmh Northern Lakes County $4 7%
Cmh Oakland County $4 7%
Cmh Ottawa County $4 7%
Cmh Van Buren County $4 7%
Cmh Washtenaw County $4 7%
Cmh Wayne County/Carelink $4 7%
Cmh Wayne Cty/Com Liv Svcs $4 7%
Cmh West Mi County $4 7%
Community Benefit Health $4 7%
Community Care Behavorial Health $4 7%
Community Care Partners $4 7%
Community Health Choice $4 7%
Connections Csp $4 7%
County Coroner $4 7%
County Funding Generic $4 7%
Covid19 Hrsa Uninsured Testing And Treatment Fund $4 7%
Dean Wi Badgercare $4 7%
Delaware County Department Of Health $4 7%
Delaware First Health $4 7%
Delta Dental Nj $4 7%
Dph Tb Program $4 7%
Dscc $4 7%
Eastpointe Lme $4 7%
Family Health Network $4 7%
Freedom First Healthcare $4 7%
Fresno County Ccs $4 7%
Ghc Scw Wi Badgercare $4 7%
Harbor Health $4 7%
Health Safety Net $4 7%
Healthy Blue Ne $4 7%
Hennepin Health $4 7%
Humana $4 - $115 7%
Id County Ada $4 7%
Id County Canyon $4 7%
Id County Cat Fund $4 7%
Id County Other $4 7%
Id County Payette $4 7%
Idaho Dept Health And Wellfare $4 7%
Idaho Womens Health Check $4 7%
Indiana Breast Cervical Cancer $4 7%
Inland Empire Health Plan $4 7%
Intercommunity Health Ohp $4 7%
Iowa Total Care $4 7%
Jai Medical System $4 7%
Kern Family Health Plan $4 7%
Keystone First $4 7%
Keystone First Chip $4 7%
La Care Health Plan $4 7%
Lakeland Care Inc $4 7%
Managed Health Services - Indiana $4 7%
Maryland Breast & Cervical Program $4 7%
Maryland Healthy Smiles - Scion Dental $4 7%
Maryland Physicians Care $4 7%
Massachusetts Behavioral Health Partnership $4 7%
Mdwise $4 7%
Medi-Cal $4 7%
Medi-Cal Healthnet $4 7%
Medicaid / KanCare $4 - $45 7%
Medstar Dc Healthy Family $4 7%
Medstar Md Health Choice $4 7%
Mo Home State Health Plan $4 7%
Molina Centennial Care $4 7%
Nascentia Health Options $4 7%
Nebraska Total Care $4 7%
New York Cancer Services Program $4 7%
Nextlevel Health $4 7%
Oregon Screenwise $4 7%
Pace Of Southwest Michigan $4 7%
Paramount Advantage $4 7%
Parkland Community Health Plan $4 7%
Partners Behavioral Lme $4 7%
Peach State Healthplan $4 7%
Philadelphia County Funding $4 7%
Presbyterian Centennial Care $4 7%
Prestige Health Choice $4 7%
Priority Partners $4 7%
Robert F Sing Program $4 7%
Rx 340B Pass Along $4 7%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $4 7%
Rx Medi-Cal $4 7%
Rx Meridian Rx $4 7%
Ryan White Florida Mssrp $4 7%
Sandhills Center Lme $4 7%
Screening For Life $4 7%
St Joseph County Hlth Dpt $4 7%
Stephenson Cty Health $4 7%
Sunshine State Health Plan $4 7%
Superior Health $4 7%
Tenncare $4 7%
Texas Children'S Health Plan $4 7%
Trillium Community Ohp $4 7%
Tufts Health Public Plans $4 7%
Vaya Health Lme $4 7%
Washtenaw Health Plan $4 7%
Wellsense Health Plan $4 7%
Wi Womens Wellness $4 7%
Medicare (plans) $5 - $31 8%
UnitedHealthcare $5 - $115 8%
Access Health $6 - $22 10%
Align Senior Care $6 - $32 10%
Cca - Zing Health $6 - $7 10%
Champva $6 10%
Longevity Ipa Of Michigan Llc Health Plan Isnp $6 - $36 10%
Tricare $6 10%
Triwest Health Alliance $6 10%
Us Family Health Plan $6 10%
Veterans Administration $6 10%
Veterans Eval Services $6 10%
Blue Benefit Administrators Of Massachusetts $7 - $109 12%
Blue Care Network $7 - $109 12%
Blue Distinction Transplant $7 - $109 12%
Blue Shield - Ca $7 - $109 12%
Blue Shield - Id (Regence) $7 - $109 12%
Blue Shield - Ny Highmark Northeastern $7 - $109 12%
Blue Shield - Ny Highmark Western $7 - $109 12%
Blue Shield - Pa (Highmark) $7 - $109 12%
Blue Shield - Wa (Regence) $7 - $109 12%
Molina Marketplace $7 - $53 12%
Oscar $7 - $39 12%
Wc Accident Fund $7 - $101 12%
Wc Advantage $7 - $101 12%
Wc Aig $7 - $101 12%
Wc Allied $7 - $101 12%
Wc Amerisure $7 - $101 12%
Wc Amtrust $7 - $101 12%
Wc Asu Risk Mgt $7 - $101 12%
Wc Berkley Admin $7 - $101 12%
Wc Broadspire $7 - $101 12%
Wc Bunch & Associates $7 - $101 12%
Wc Ccmsi $7 - $101 12%
Wc Emc Insurance Company $7 - $101 12%
Wc Esis $7 - $101 12%
Wc Fcci $7 - $101 12%
Wc Federated $7 - $101 12%
Wc Gallagher Bassett $7 - $101 12%
Wc Genex Care For Ohio $7 - $101 12%
Wc Guard Insurance Company $7 - $101 12%
Wc Hartford $7 - $101 12%
Wc Liberty Mutual $7 - $101 12%
Wc Meijers $7 - $101 12%
Wc Michigan $7 - $101 12%
Wc Mitchell Frankenmuth $7 - $101 12%
Wc Pma $7 - $101 12%
Wc Sedgwick $7 - $101 12%
Wc Sentry $7 - $101 12%
Wc Travelers $7 - $101 12%
Wc Tristar $7 - $101 12%
Wc Walmart $7 - $101 12%
Wc Zurich $7 - $101 12%
Wellpath $7 - $88 12%
Acclaim $8 - $115 13%
Administrative Concepts $8 - $115 13%
Allegeant $8 - $115 13%
Allied Benefit Systems $8 - $115 13%
Ameriben $8 - $115 13%
American Family $8 - $115 13%
American Healthcare Alliance $8 - $115 13%
American National $8 - $10 13%
American Postal Workers Secondary $8 - $10 13%
American Republic $8 - $115 13%
Amerihealth $8 - $115 13%
Andrie Inc $8 - $9 13%
Aultcare $8 - $115 13%
Automated Benefit Services $8 - $115 13%
Auxiant $8 - $115 13%
Benefit Administrative Systems,Llc $8 - $115 13%
Boon Chapman $8 - $115 13%
Cam Administrative Services $8 - $115 13%
Christian Brother Services $8 - $115 13%
Christian Brothers Holy Cross $8 - $115 13%
Claimchoice Adminstrators $8 - $115 13%
Comprehensive Benefits $8 - $115 13%
Consociate $8 - $115 13%
Continental Life Insurance $8 - $115 13%
Coventry $8 - $10 13%
Custom Benefit Administrators $8 - $115 13%
Cypress Benefit Administrators $8 - $115 13%
East Greenbush Central School District $8 - $9 13%
Employee Benefit Concepts $8 - $115 13%
Employee Benefit Management $8 - $115 13%
Enterprise Group Planning $8 - $115 13%
First Health $8 - $116 13%
Forest County Potawatomi $8 - $115 13%
Freedom Life Insurance Company $8 - $115 13%
Geha $8 - $115 13%
Genex Wc $8 - $9 13%
Group Administrators $8 - $115 13%
Group Marketing Services $8 - $115 13%
Group Pension Administrators $8 - $110 13%
Guardian $8 - $115 13%
Health America $8 - $115 13%
Health Choices $8 - $115 13%
Health Smart $8 - $115 13%
Healthcare Management Admin $8 - $10 13%
Healthez $8 - $115 13%
Healthgram $8 - $115 13%
Healthscope $8 - $115 13%
Healthsmart Workers Comp $8 - $9 13%
Insight $8 - $115 13%
Intercare $8 - $115 13%
Jag Source $8 - $9 13%
Jfp Benefit Management $8 - $115 13%
Jp Farley Corporation $8 - $115 13%
Key Benefit Administrator $8 - $115 13%
Liberty Union Life Assurance Co $8 - $115 13%
Lucent Health $8 - $115 13%
Luminare Health $8 - $115 13%
Luminare Health (Detroit) $8 - $115 13%
Magnacare $8 - $10 13%
Medben $8 - $115 13%
Medcost $8 - $115 13%
Medical Mutual $8 - $115 13%
Mutual Health Services $8 - $115 13%
Mutual Of Omaha $8 - $115 13%
Ncas $8 - $115 13%
New York State Insurance Fund $8 - $9 13%
Nippon Life Ins $8 - $115 13%
Njm Insurance Group $8 - $9 13%
Nova $8 - $115 13%
Painters Union Insurance Fund $8 - $115 13%
Partners Direct Health - Brio $8 - $9 13%
Physicians Mutual $8 - $115 13%
Plumbers Local 98 Insurance Fund $8 - $115 13%
Prairie States $8 - $115 13%
Preferred One $8 - $10 13%
Primary Physician Care $8 - $115 13%
Professional Benefit Administrators $8 - $115 13%
Rx Heatlhcomp $8 - $9 13%
Rx Restat $8 - $9 13%
Rx Saif Opdp Wc $8 - $9 13%
Rx Worker'S Comp $8 - $9 13%
Secureone Preferred United Plans $8 - $115 13%
Siho Insurance Services $8 - $10 13%
Sisco Benefits $8 - $10 13%
The Health Plan $8 - $10 13%
The Loomis Company $8 - $115 13%
Trustmark Small Business Benefits $8 - $115 13%
Unicare $8 - $115 13%
Unified Group Services $8 - $115 13%
Valenz $8 - $115 13%
Wc Ace $8 - $9 13%
Wc Acs Federal Employees $8 - $9 13%
Wc Acuity $8 - $9 13%
Wc Aegis $8 - $9 13%
Wc Aims $8 - $9 13%
Wc Alaska National Ins $8 - $9 13%
Wc Align Network $8 - $9 13%
Wc Am Trust N America $8 - $9 13%
Wc American Claims Mgmt $8 - $9 13%
Wc Benetech $8 - $9 13%
Wc Broward County $8 - $9 13%
Wc California State Comp Ins $8 - $9 13%
Wc California State Ins Fund $8 - $9 13%
Wc Capitol Area Health Consortium $8 - $9 13%
Wc Chartis $8 - $9 13%
Wc Chubb $8 - $9 13%
Wc Cirma $8 - $9 13%
Wc City Of Albany $8 - $9 13%
Wc City Of Sioux City $8 - $9 13%
Wc Claims Mgmt Inc $8 - $9 13%
Wc Cna $8 - $9 13%
Wc Comp One Admin C/O Manageability $8 - $9 13%
Wc Compone Admin $8 - $9 13%
Wc Corvel $8 - $9 13%
Wc Ct Healthcare Trust $8 - $9 13%
Wc Donegal Insurance Group $8 - $9 13%
Wc Employee Mutual $8 - $9 13%
Wc Enablecomp $8 - $9 13%
Wc Encore Health Network $8 - $9 13%
Wc Erie $8 - $9 13%
Wc Evolutions $8 - $9 13%
Wc Fed Ex $8 - $9 13%
Wc Federal Black Lung $8 - $9 13%
Wc Finley Occupational Health $8 - $9 13%
Wc First Agency/Occunet $8 - $9 13%
Wc Ford Motor $8 - $9 13%
Wc Fresno Unified Emp $8 - $9 13%
Wc General Motors $8 - $9 13%
Wc Generic $8 - $9 13%
Wc Great West Casualty $8 - $9 13%
Wc Guarantee Insurance $8 - $9 13%
Wc Hab $8 - $9 13%
Wc Hastings $8 - $9 13%
Wc Health Management $8 - $9 13%
Wc Heritage Summit $8 - $9 13%
Wc Hireright $8 - $9 13%
Wc Horizon $8 - $9 13%
Wc Icw Group $8 - $9 13%
Wc Idaho State Ins Fund $8 - $9 13%
Wc Intercare Insurance $8 - $9 13%
Wc Intermountain $8 - $9 13%
Wc Johns Eastern $8 - $9 13%
Wc Kemberton $8 - $9 13%
Wc Key Ins & Benefit Solutions $8 - $9 13%
Wc Mac Risk Management $8 - $9 13%
Wc Massachusetts $8 - $9 13%
Wc Mdia $8 - $9 13%
Wc Meadowbrook Claim $8 - $9 13%
Wc Medical Administrators $8 - $9 13%
Wc Memic $8 - $9 13%
Wc Mercy Workcare $8 - $9 13%
Wc Michigan Millers Mutual $8 - $9 13%
Wc Mra $8 - $9 13%
Wc Nationwide $8 - $9 13%
Wc Nca Comp $8 - $9 13%
Wc New York $8 - $9 13%
Wc New York Special Funds $8 - $9 13%
Wc North American Rishces $8 - $9 13%
Wc Northeast Health $8 - $9 13%
Wc Notre Dame $8 - $9 13%
Wc Novanet $8 - $9 13%
Wc O'Hara Corp $8 - $9 13%
Wc Occ Health Allen $8 - $9 13%
Wc Ohio Bureau $8 - $9 13%
Wc One Call Medical $8 - $9 13%
Wc Paradigm $8 - $9 13%
Wc Peerless $8 - $9 13%
Wc Praxis Health Network $8 - $9 13%
Wc Price Chopper $8 - $9 13%
Wc Procura Management $8 - $9 13%
Wc Qualcare $8 - $9 13%
Wc Quiktrip $8 - $9 13%
Wc Reny Company $8 - $9 13%
Wc Rev Claims $8 - $9 13%
Wc Risico $8 - $9 13%
Wc Rural Mutual $8 - $9 13%
Wc Saif Oregon $8 - $9 13%
Wc Secura $8 - $9 13%
Wc Sheakley Unicomp $8 - $9 13%
Wc Smile Lodge $8 - $9 13%
Wc Society $8 - $9 13%
Wc Srs $8 - $9 13%
Wc Taconic (Mro) $8 - $9 13%
Wc Taconic Farms $8 - $9 13%
Wc Triad Group $8 - $9 13%
Wc Troy Ny $8 - $9 13%
Wc Tyson $8 - $9 13%
Wc Unified Health Services $8 - $9 13%
Wc United Heartland $8 - $9 13%
Wc Us Dept Of Labor $8 - $9 13%
Wc Velocity $8 - $9 13%
Wc West Bend $8 - $9 13%
Wc West Bend Mutual/Argent $8 - $9 13%
Wc Winnebago Industries $8 - $9 13%
Wc Yankee Trails $8 - $9 13%
Wc York Risk $8 - $9 13%
Wc Zenith $8 - $9 13%
Webtpa $8 - $10 13%
Western & Southern Financial Group $8 - $115 13%
Wps $8 - $115 13%
Claimdoc $9 - $10 15%
Kent County Jail $9 - $10 15%
Muskegon County Jail $9 - $10 15%
Nomi Health $9 - $72 15%
Priority Health $9 - $115 15%
1199 National Benefit Fund $10 - $110 17%
Allied National Global Care $10 - $110 17%
Asrm - Reliance Standard Life Insurance $10 - $110 17%
Christian Care Ministry $10 - $110 17%
Dean Health $10 - $110 17%
Fallon Health $10 - $110 17%
Family Life Insurance Company $10 - $110 17%
International Benefit Administrators $10 - $110 17%
Lifetime Benefit Solutions $10 - $110 17%
Manhattan Life $10 - $110 17%
Meritain $10 - $102 17%
Multiplan $10 - $110 17%
Mvp $10 - $110 17%
Pai $10 - $110 17%
Pan-American Life $10 - $110 17%
Phcs $10 - $110 17%
Trinity Health Share $10 - $110 17%
Hap $11 - $118 18%
Health Partners $11 18%
Tufts Health Plan $11 18%
Asr Health Benefits $12 - $107 20%
U Of M Health Plan $12 - $115 20%
Varipro $12 - $118 20%
Bcccp-Michigan $14 - $18 23%
Us Health And Life $14 - $115 23%
Blue Care Network Advantage $31 51%
Correctional Recovery $32 53%
Vitalcore $43 71%
Hospice Of Michigan $70 116%
Bcn Domestic $109 181%
Kaiser Domestic $109 181%
Ghc Scw $110 183%
Medi Share $110 183%
Paramount Hmo $110 183%
Caresource $114 189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals