CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Mercy Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $59
Cash Discount Price: $205
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mercy Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 1320 Mercy Drive Nw, Canton, OH.

Cash / Self-Pay

$205

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $205 (340%)

Insurance Median: $59 (98%)

Cash: $205 (340% of Medicare)

Ins. Median: $59 (98% 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
Summacare	$4 - $191	7%
Aetna	$6 - $315	10%
Aultcare	$6 - $129	10%
Blue Cross Blue Shield	$6 - $207	10%
Buckeye	$6 - $20	10%
Caresource	$6 - $20	10%
Cigna	$6 - $164	10%
Communicare	$6 - $58	10%
Humana	$6 - $55	10%
Mmo	$6 - $191	10%
Perennial Health	$6 - $59	10%
The Health Plan	$6 - $315	10%
United	$6 - $55	10%
Zing Health	$6 - $60	10%
Amerihealth	$7 - $21	12%
Molina	$7 - $20	12%
Oscar	$73 - $121	121%
Ohcp	$106 - $153	176%
Cc Ehp	$126 - $128	209%
Omas	$136 - $158	226%
Amish Community Aid Plan	$142 - $158	236%
Immergrun	$158 - $205	262%
Phphi	$164 - $189	272%
Ohio Healthy	$170	282%
Php	$189	314%
Gms	$191 - $220	317%
Medical Benefit Corp	$220	365%
Consociate Health	$236	392%
Multiplan	$246 - $284	408%
Frontpath	$284	471%
Managed Care Services	$284	471%
Tertiary Care Network	$284	471%

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 $205.
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 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.