CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Methodist Fremont Health

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $487
Cash Discount Price: $3,926
vs. Medicare Baseline: 8.08x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Methodist Fremont Health is $487. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,926. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 8.08x the Medicare baseline. Located in 450 East 23Rd St, Fremont, NE.

Cash / Self-Pay

$3,926

Average discount available for prompt cash payment at this facility.

Insurance Median

$487

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: $3,926 (6514%)

Insurance Median: $487 (808%)

Cash: $3,926 (6514% of Medicare)

Ins. Median: $487 (808% 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 808% of the Medicare baseline (a markup of 708%). 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
Aetna	$65 - $19,855	108%
Blue Cross Blue Shield	$65 - $17,580	108%
Humana	$65	108%
Medica	$65	108%
Medicare (plans)	$65 - $66	108%
UnitedHealthcare	$65 - $18,634	108%
Ambetter / Centene	$134	222%
Elite Choice	$134	222%
Elevate By Medica	$243 - $9,307	403%
Alliance Nhn	$315 - $12,037	523%
Ne Furniture Mart	$449 - $17,166	745%
Medica Choice	$476 - $18,200	790%
Multiplan	$487 - $18,614	808%
Midlands Choice	$509 - $19,441	845%

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 $3,926.
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 Methodist Fremont Health 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.