CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Mercy Hospital Stoddard

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $89
  • Cash Discount Price: $140
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mercy Hospital Stoddard is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.48x the Medicare baseline. Located in 1200 N One Mile Rd, Dexter, MO.
Cash / Self-Pay
$140

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $140 (232%)
Insurance Median: $89 (148%)
Cash: $140 (232% of Medicare)
Ins. Median: $89 (148% 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 $32 - $215 53%
Acentra Health Contracted [320527] $53 88%
Aetna $53 - $161 88%
Blue Cross Blue Shield $53 - $376 88%
Cross Timbers Hospice [20098] $53 88%
Dept Of Veteran Affairs Contracted [320106] $53 88%
Elara Caring Aspire Hospice Contracted [320433] $53 88%
Elara Caring Aspire Hospice [20433] $53 88%
Halo Hcr Inc Hospice Contracted [320432] $53 88%
Halo Hcr Inc Hospice [20432] $53 88%
Humana $53 88%
Kindful Hospice Contracted [320434] $53 88%
Kindful Hospice [20434] $53 88%
Medicare (plans) $53 - $56 88%
Mercy Hospice Okc [20252] $53 88%
Pace Of The Ozarks Contracted [320518] $53 88%
Tricare $53 88%
UnitedHealthcare $53 - $383 88%
Ambetter / Centene $54 90%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $54 90%
Home State Health Plan Contracted [320187] $54 90%
Hope Trust Contracted [320488] $54 90%
Provider Partners Health Plans Contracted [320450] $61 101%
Consociate Consolidated Health Contracted [320490] $74 - $119 123%
Auxiant Contracted [320462] $89 - $108 148%
Ebms Contracted [320493] $89 148%
Healthlink Contracted [320179] $89 - $172 148%
Imagine 360 Contracted [320494] $89 148%
Mercy Benefit Admin Contracted [320251] $89 - $146 148%
Reflect Health Contracted [320492] $92 153%
Preferred Health Plan Contracted [320522] $94 156%
Health Alliance Contracted [320164] $140 232%
Aither Health Contracted [320449] $146 242%
Edison Health Solutions Contracted [320502] $146 242%
Mercy Benefit Admin [20251] $146 242%
Yuzu Health Contracted [320521] $146 242%
First Health Contracted [320128] $161 267%
Workers Comp [20426] $161 - $172 267%
Multiplan Contracted [320270] $172 285%
Private Health Care Systems Contracted [320320] $172 285%
Cigna $179 297%
United Medical Resources Contracted [320454] $383 635%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 N One Mile Rd, Dexter, MO 63841
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals