CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: M Health Fairview Woodwinds Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $145
Cash Discount Price: $88
vs. Medicare Baseline: 2.41x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at M Health Fairview Woodwinds Hospital is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.41x the Medicare baseline. Located in 1925 Woodwinds Drive, Woodbury, MN.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$145

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: $88 (146%)

Insurance Median: $145 (241%)

Cash: $88 (146% of Medicare)

Ins. Median: $145 (241% 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 241% of the Medicare baseline (a markup of 141%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Health Partners	$4 - $134	7%
Itasca Medical Care	$4 - $59	7%
Primewest	$4 - $59	7%
South Country Health Alliance	$4 - $59	7%
Ucare	$4 - $136	7%
Blue Cross Blue Shield	$5 - $129	8%
Hennepin Health	$5 - $60	8%
Medica	$5 - $63	8%
Sanford Health Plan	$6 - $131	10%
Security Health Plan	$6 - $167	10%
UnitedHealthcare	$6 - $312	10%
Wellcare	$6 - $59	10%
America'S Ppo	$107 - $161	178%
First Health	$169 - $183	280%
Multiplan	$175 - $190	290%
Private Healthcare Systems	$175 - $190	290%
Wisconsin Physician Services	$185 - $201	307%

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 $88.
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 M Health Fairview Woodwinds 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.