CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Mercy Hospital Springfield
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $184
- Cash Discount Price: $265
- vs. Medicare Baseline: 3.05x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mercy Hospital Springfield is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $265. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.05x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$265
Average discount available for prompt cash payment at this facility.
Insurance Median
$184
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: $265 (440%)
Insurance Median: $184 (305%)
Cash: $265 (440% of Medicare)
Ins. Median: $184 (305% 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 305% of the Medicare baseline (a markup of 205%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 | $5 - $204 | 8% |
| Blue Cross Blue Shield | $5 - $311 | 8% |
| Humana | $5 - $277 | 8% |
| Medicaid / KanCare | $5 - $166 | 8% |
| Centurion Of Missouri [20459] | $53 | 88% |
| Champva [20065] | $53 | 88% |
| Cherokee Nation Health Serv Contracted [320066] | $53 | 88% |
| Cigna | $53 - $313 | 88% |
| Cross Timbers Hospice [20098] | $53 | 88% |
| Dept Of Veteran Affairs Contracted [320106] | $53 | 88% |
| Elara Caring Aspire Hospice [20433] | $53 | 88% |
| Globalhealth Contracted [320145] | $53 | 88% |
| Halo Hcr Inc Hospice Contracted [320432] | $53 | 88% |
| Halo Hcr Inc Hospice [20432] | $53 | 88% |
| Indian Health Service Contracted [320198] | $53 | 88% |
| Indian Health Service [20198] | $53 | 88% |
| Kindful Hospice Contracted [320434] | $53 | 88% |
| Kindful Hospice [20434] | $53 | 88% |
| Medicare (plans) | $53 - $55 | 88% |
| Mercy Hospice Okc [20252] | $53 | 88% |
| Mercy Mgd Behavioral Health Contracted [320259] | $53 | 88% |
| Mercy Rehab Hospital Contracted [320260] | $53 | 88% |
| Pace Of The Ozarks Contracted [320518] | $53 | 88% |
| Qual Choice Contracted [320325] | $53 | 88% |
| Tricare | $53 | 88% |
| UnitedHealthcare | $53 - $338 | 88% |
| Provider Partners Health Plans Contracted [320450] | $58 | 96% |
| Healthscope Contracted [320182] | $67 | 111% |
| Centivo Contracted [320505] | $89 | 148% |
| Providrs Care Network Contracted [320484] | $110 | 183% |
| Medica Contracted [320239] | $161 | 267% |
| Medica [20239] | $161 | 267% |
| Benefit Management Contracted [320052] | $163 | 270% |
| Health Systems Inc Contracted [320174] | $163 | 270% |
| Insurance System Inc Contracted [320465] | $163 | 270% |
| Ambetter / Centene | $166 | 275% |
| Home State Health Plan Contracted [320187] | $166 | 275% |
| Novasys Contracted [320285] | $166 | 275% |
| Administrative Payor Contracted [320005] | $183 - $204 | 304% |
| Evolutions Health Care Contracted [320124] | $183 | 304% |
| Point C Contracted [320238] | $183 - $305 | 304% |
| Point C [20238] | $183 | 304% |
| Medical Destinations Contracted [320242] | $204 | 338% |
| Mercy Benefit Admin Contracted [320251] | $204 - $244 | 338% |
| Workers Comp [20426] | $204 - $346 | 338% |
| United Medical Resources Contracted [320454] | $212 - $218 | 352% |
| First Health Contracted [320128] | $228 | 378% |
| Aither Health Contracted [320449] | $232 | 385% |
| Auxiant Contracted [320462] | $232 - $265 | 385% |
| Ebms Contracted [320493] | $232 | 385% |
| Edison Health Solutions Contracted [320502] | $232 | 385% |
| Healthlink Contracted [320179] | $232 - $326 | 385% |
| Imagine 360 Contracted [320494] | $232 | 385% |
| Reflect Health Contracted [320492] | $232 | 385% |
| Yuzu Health Contracted [320521] | $232 | 385% |
| 90 Degree Benefits Contracted [320436] | $244 | 405% |
| Federal Medical Center Contracted [320127] | $244 | 405% |
| Show-Me Health Administrators Contracted [320483] | $244 | 405% |
| Multiplan Contracted [320270] | $313 | 519% |
| Private Health Care Systems Contracted [320320] | $313 | 519% |
| Compcare Of The Ozarks Contracted [320437] | $322 | 534% |
| American Healthcare Alliance Contracted [320020] | $326 | 541% |
| Qual Choice Contracted [320324] | $326 | 541% |
| Municipal Health Plan Contracted [320271] | $330 | 548% |
| Usa Managed Care Org Contracted [320429] | $358 | 594% |
| Ppo Plus Contracted [320310] | $366 | 607% |