Electrocardiogram (EKG, tracing only)
Facility: Golden Valley Memorial Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $60
- Cash Discount Price: $106
- vs. Medicare Baseline: 1.00x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Home State Health | $55 | 91% |
| UnitedHealthcare | $55 - $600 | 91% |
| Aetna | $60 | 100% |
| Humana | $60 | 100% |
| Ambetter / Centene | $72 | 119% |
Consumer Guidance & Cost Commentary
Golden Valley Memorial Hospital in Clinton, MO, reports a cash median price of $106 for an Electrocardiogram (EKG, tracing only). This cash rate is significantly lower than the facility's gross charge of $177 and sits below the state average of $106, while the median negotiated rate for in-network insurance plans is $60. The facility, which is government-owned, lists a Medicare amount of $60.27, and five payers were included in the price transparency data.
For patients with high-deductible plans, paying the cash price of $106 upfront may be more cost-effective than relying on insurance, as the median negotiated rate of $60 could still result in out-of-pocket costs if deductibles are not met. It is important to note that the median paid amount is not available in the current data. Consumers should contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final bill by 20% to 50% when paid in full within a short window. Additionally, before scheduling, patients should verify their specific plan details to ensure they are aware of any potential balance billing risks or administrative fees associated with the service.