CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Northeast Regional Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $117
  • Cash Discount Price: $111
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Northeast Regional Medical Center is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.94x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$111

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $111 (184%)
Insurance Median: $117 (194%)
Cash: $111 (184% of Medicare)
Ins. Median: $117 (194% 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 $51 - $83 85%
Veterans Eval Services $59 98%
Node Champva $60 100%
Tricare $60 100%
Medicare (plans) $62 103%
Node Hospice Non Par Agree $63 105%
Node Va $63 105%
UnitedHealthcare $63 - $212 105%
Blue Cross Blue Shield $64 - $86 106%
Node Devoted Health Mcr Adv $65 108%
Self Pay $68 - $155 113%
Blue Pathway/Pathway X $72 119%
Centurion Correctional $79 131%
Us Department Of Labor $79 131%
Cigna $96 - $110 159%
Aetna $105 - $235 174%
Home State Exchange $114 189%
Naphcare $120 199%
Immergrun $127 211%
Blue Prefrerred $150 249%
Blue Access $155 257%
Access Health Services, Llc $183 304%
Healthlink $212 - $226 352%
Multiplan $212 - $226 352%
Coventry Wc $226 375%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals