CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Mercy St Francis Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $264
Cash Discount Price: $190
vs. Medicare Baseline: 4.38x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mercy St Francis Hospital is $264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.38x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.

Cash / Self-Pay

$190

Average discount available for prompt cash payment at this facility.

Insurance Median

$264

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: $190 (315%)

Insurance Median: $264 (438%)

Cash: $190 (315% of Medicare)

Ins. Median: $264 (438% 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 438% of the Medicare baseline (a markup of 338%). 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
Medicaid / KanCare	$21 - $152	35%
Medicare (plans)	$55 - $105	91%
Blue Cross Blue Shield	$56 - $284	93%
UnitedHealthcare	$78 - $278	129%
Aetna	$100 - $261	166%
Cherokee Nation Health Serv Contracted [320066]	$100	166%
Cigna	$100 - $278	166%
Cross Timbers Hospice [20098]	$100	166%
Dept Of Veteran Affairs Contracted [320106]	$100	166%
Elara Caring Aspire Hospice [20433]	$100	166%
Globalhealth Contracted [320145]	$100	166%
Halo Hcr Inc Hospice Contracted [320432]	$100	166%
Halo Hcr Inc Hospice [20432]	$100	166%
Humana	$100 - $264	166%
Indian Health Service Contracted [320198]	$100	166%
Kindful Hospice Contracted [320434]	$100	166%
Kindful Hospice [20434]	$100	166%
Medical Associates Health Contracted [320444]	$100	166%
Mercy Hospice Okc [20252]	$100	166%
Mercy Mgd Behavioral Health Contracted [320259]	$100	166%
Pace Of The Ozarks Contracted [320518]	$100	166%
Provider Partners Health Plans Contracted [320450]	$100	166%
Qual Choice Contracted [320325]	$100	166%
Tricare	$100	166%
Administrative Payor Contracted [320005]	$132	219%
Healthscope Contracted [320182]	$134	222%
Ambetter / Centene	$152	252%
Home State Health Plan Contracted [320187]	$152	252%
Novasys Contracted [320285]	$152	252%
Centivo Contracted [320505]	$170	282%
Healthlink Contracted [320179]	$190 - $278	315%
Preferred Health Plan Contracted [320522]	$190	315%
Workers Comp [20426]	$234 - $249	388%
Auxiant Contracted [320462]	$264 - $278	438%
Mercy Benefit Admin Contracted [320251]	$264 - $278	438%
Point C Contracted [320238]	$264 - $278	438%
United Medical Resources Contracted [320454]	$264 - $272	438%
Medica Contracted [320239]	$277	460%
90 Degree Benefits Contracted [320436]	$278	461%
Aither Health Contracted [320449]	$278	461%
Benefit Management Contracted [320052]	$278	461%
Ebms Contracted [320493]	$278	461%
Edison Health Solutions Contracted [320502]	$278	461%
Evolutions Health Care Contracted [320124]	$278	461%
First Health Contracted [320128]	$278	461%
Health Systems Inc Contracted [320174]	$278	461%
Imagine 360 Contracted [320494]	$278	461%
Insurance System Inc Contracted [320465]	$278	461%
Multiplan Contracted [320270]	$278	461%
Point C [20238]	$278	461%
Private Health Care Systems Contracted [320320]	$278	461%
Reflect Health Contracted [320492]	$278	461%
Show-Me Health Administrators Contracted [320483]	$278	461%
Usa Managed Care Org Contracted [320429]	$278	461%
Yuzu Health Contracted [320521]	$278	461%

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 $190.
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 Mercy St Francis Hospital 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.