CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Brattleboro Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $185
Cash Discount Price: $165
vs. Medicare Baseline: 3.07x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Brattleboro Memorial Hospital is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.07x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.

Cash / Self-Pay

$165

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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: $165 (274%)

Insurance Median: $185 (307%)

Cash: $165 (274% of Medicare)

Ins. Median: $185 (307% 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 307% of the Medicare baseline (a markup of 207%). 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
Amerihealth-Caritas	$5 - $46	8%
New Hampshire Healthy Families	$5 - $46	8%
Wellsense	$5 - $61	8%
Blue Cross Blue Shield	$6 - $216	10%
Cigna	$6 - $228	10%
Harvard Pilgrim Health Care	$6 - $209	10%
Martin'S Point	$6 - $57	10%
Mvp Healthcare	$6 - $216	10%
New Hampshire Healthy Families (Wellcare)	$6 - $60	10%
Vermont Health Plan	$11 - $215	18%
Tufts Health Plan	$21 - $220	35%
Humana	$57	95%
UnitedHealthcare	$57 - $228	95%
Multiplan	$68 - $233	113%
Aetna	$159 - $233	264%
Coventry	$159 - $233	264%
Health New England	$228 - $233	378%

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 $165.
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 Brattleboro Memorial 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.