CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Cox Medical Centers

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $37
Cash Discount Price: $73
vs. Medicare Baseline: 0.61x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Cox Medical Centers is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.61x the Medicare baseline. Located in 3801 South National Avenue, Springfield, MO.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $73 (121%)

Insurance Median: $37 (61%)

Cash: $73 (121% of Medicare)

Ins. Median: $37 (61% 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
Coastal Energy Corporation	$29	48%
Parkcrest Dental Group	$29	48%
Heart Of America Beverage Company	$30	50%
Loren Cook	$30	50%
Ozark Anesthesia Assoc. Inc	$31	51%
Springfieldgreene Co Library	$31	51%
Src Holdings Corporation	$31	51%
Justice Furniture And Bedding Co	$32	53%
Missouri Affiliated School Consortium (Masc)	$32	53%
The Durham Company	$32	53%
Ozark County	$33	55%
Ozarks Cocacola	$33	55%
Advanced Concrete Technology	$34	56%
Flora Farms	$34	56%
Texas Co Memorial Hospital	$39 - $155	65%
Cox Healthplans	$59	98%
Health Net Federal Services	$59	98%
Humana	$59	98%
Medrisk Llc	$59	98%
UnitedHealthcare	$59 - $193	98%
Blue Cross Blue Shield	$60	100%
Allwell	$61	101%
Devoted	$63	105%
Provider Partners Health Plan	$63	105%
Bjc Health Solutions	$167 - $397	277%

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 $73.
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 Cox Medical Centers 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.