CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Holy Cross Hospital-Jordan Valley

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $223
Cash Discount Price: $175
vs. Medicare Baseline: 3.70x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Holy Cross Hospital-Jordan Valley is $223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.70x the Medicare baseline. Located in 3580 West 9000 South, West Jordan, UT.

Cash / Self-Pay

$175

Average discount available for prompt cash payment at this facility.

Insurance Median

$223

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: $175 (290%)

Insurance Median: $223 (370%)

Cash: $175 (290% of Medicare)

Ins. Median: $223 (370% 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 370% of the Medicare baseline (a markup of 270%). 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	$5 - $370	8%
Colorado Access	$5	8%
Denver Health	$5	8%
Health Choice	$5	8%
Molina	$5 - $188	8%
Rocky Mountain Health Plan	$5	8%
Uuhp	$5 - $71	8%
Humana	$6	10%
Medicare (plans)	$6	10%
Employer Direct Healthcare	$7	12%
Motivhealth	$7	12%
Blue Cross Blue Shield	$75 - $262	124%
Centura Employee Plan	$75	124%
Cigna	$156 - $350	259%
Pehp	$187 - $437	310%
Wise	$227 - $232	377%
Deseret Mutual Benefit Administrators	$268	445%
Select Health	$289	480%
Multiplan	$302 - $398	501%
Emi Health	$437	725%
UnitedHealthcare	$437 - $478	725%

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 $175.
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 Holy Cross Hospital-Jordan Valley 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.