CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Yoakum County Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $122
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 2.02x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Yoakum County Hospital is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.02x the Medicare baseline. Located in 412 Mustang Avenue, Denver City, TX.
Cash / Self-Pay
$163

Average discount available for prompt cash payment at this facility.

Insurance Median
$122

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: $163 (270%)
Insurance Median: $122 (202%)
Cash: $163 (270% of Medicare)
Ins. Median: $122 (202% 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 202% of the Medicare baseline (a markup of 102%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
90 Degree Benefits $6 10%
Cigna $94 - $118 156%
Humana $94 - $118 156%
Insurance Services Of Lubbock $94 - $118 156%
UnitedHealthcare $94 - $145 156%
Firstcare $95 - $127 158%
Multiplan $95 - $159 158%
Aetna $96 - $154 159%
Dars $101 - $127 168%
Healthsmart $122 - $153 202%
Phcs $122 - $154 202%
Capstar $130 - $163 216%
Provider Network $140 - $177 232%
Blue Cross Blue Shield $144 - $182 239%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 412 Mustang Avenue, Denver City, TX 79323
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals