CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Central Montana Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $282
Cash Discount Price: $258
vs. Medicare Baseline: 4.68x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Central Montana Medical Center is $282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.68x the Medicare baseline. Located in 408 Wendell Ave, Lewistown, MT.

Cash / Self-Pay

$258

Average discount available for prompt cash payment at this facility.

Insurance Median

$282

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: $258 (428%)

Insurance Median: $282 (468%)

Cash: $258 (428% of Medicare)

Ins. Median: $282 (468% 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 468% of the Medicare baseline (a markup of 368%). 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
Blue Cross Blue Shield	$22 - $279	37%
Triwest - All Plans	$157 - $164	260%
Veterans Affairs - All Plans	$157 - $164	260%
Humana	$160 - $168	265%
Coventry/First Health - All Plans	$275 - $289	456%
UnitedHealthcare	$275 - $289	456%
Ebms - All Plans	$281 - $295	466%
Allegiance Comm - All Other Plans	$284 - $298	471%
Health Infonet - All Plans	$284 - $298	471%
Montana Health Co-Op - All Plans	$287 - $301	476%
Interwest Ppo	$290 - $304	481%
Pacific Source Hp - All Plans	$290 - $304	481%
Interwest Trad - All Other Plans	$296 - $310	491%
Allegiance Rbphp	$535 - $562	888%

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 $258.
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 Central Montana Medical Center 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.