CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: University of Missouri Health Care

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $234
Cash Discount Price: $236
vs. Medicare Baseline: 3.88x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at University of Missouri Health Care is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $236. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.88x the Medicare baseline. Located in One Hospital Drive, Columbia, MO.

Cash / Self-Pay

$236

Average discount available for prompt cash payment at this facility.

Insurance Median

$234

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: $236 (392%)

Insurance Median: $234 (388%)

Cash: $236 (392% of Medicare)

Ins. Median: $234 (388% 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 388% of the Medicare baseline (a markup of 288%). 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
Medica With Mu Health	$10 - $125	17%
UnitedHealthcare	$56 - $275	93%
Aetna	$58 - $330	96%
American Health Management	$58	96%
Blue Cross Blue Shield	$58 - $283	96%
Humana	$58	96%
Wellcare	$58	96%
Provider Partners Health Plan	$59	98%
Healthy Blue	$76	126%
United Community	$76	126%
Home State	$81	134%
Immergun	$125 - $150	207%
Coventry Health Plan	$233 - $279	387%
Healthlink	$233 - $279	387%
Coventry Health Plan National	$268 - $322	445%
Mercy	$268 - $322	445%
Cox Health Network	$286 - $343	475%
Cigna	$304 - $365	504%
Multiplan	$315 - $378	523%

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 $236.
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 University of Missouri Health Care 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.