CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Perham Health

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $27
Cash Discount Price: $40
vs. Medicare Baseline: 0.45x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Perham Health is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.45x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $40 (66%)

Insurance Median: $27 (45%)

Cash: $40 (66% of Medicare)

Ins. Median: $27 (45% 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
Blue Cross Blue Shield	$16 - $160	27%
Health Partners Mcr Adv	$16 - $26	27%
Humana	$16 - $26	27%
Medica Mcr Adv	$16 - $26	27%
Medicare (plans)	$16 - $29	27%
Ucare Mn Senior Health Options	$16 - $26	27%
Ucare Mn Special Needs Basic Care Dual	$16 - $27	27%
UnitedHealthcare	$16 - $60	27%
Medica Mcaid Mn Care	$17 - $28	28%
Medicaid / KanCare	$17 - $28	28%
Ucare Mn Medical Assistance	$17 - $28	28%
Ucare Mn Minnesota Care	$17 - $28	28%
Ucare Mn Senior Care Plus	$17 - $28	28%
Ucare Mn Special Needs Basic Care	$17 - $28	28%
Medica Mn (Msho)	$19 - $32	32%
Ucare Individual And Family Plan-All Other Plans	$19 - $32	32%
Medica Mn Senior Hp/Outside Mn	$21 - $35	35%
Health Partners Minnesota Care	$23 - $38	38%
Medica Commercial-All Other Plans	$34 - $56	56%
Preferred One (Pchp, Pic, Pas)-All Other Plans	$34 - $58	56%
Health Partners-All Plans	$38 - $63	63%
Preferred One (Ppo)	$39 - $65	65%
Sanford Health Plan-All Plans	$39 - $65	65%

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 $40.
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 Perham Health 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.