CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Alta Vista Regional Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $94
Cash Discount Price: $93
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Alta Vista Regional Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.56x the Medicare baseline. Located in 104 Legion Drive, Las Vegas, NM.

Cash / Self-Pay

$93

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $93 (154%)

Insurance Median: $94 (156%)

Cash: $93 (154% of Medicare)

Ins. Median: $94 (156% 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.

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
Medicare (plans)	$7 - $587	12%
UnitedHealthcare	$7 - $94	12%
Champus	$8 - $587	13%
Mcare Mcaid Hmo Dual	$8 - $94	13%
Workers Comp	$22 - $587	37%
Self Pay	$26 - $293	43%
Other Covernment	$33 - $587	55%
Commercial Hmo Ppo	$38 - $587	63%
Blue Cross Blue Shield	$40 - $587	66%
Medicaid / KanCare	$53 - $587	88%
Mva	$53 - $587	88%
Other Government	$53 - $587	88%
Php Centennial	$82	136%

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 $93.
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 Alta Vista Regional 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.