CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Trios Health

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $118
Cash Discount Price: $161
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Trios Health is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.96x the Medicare baseline. Located in 3780 Plaza Way, Kennewick, WA.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$118

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: $161 (267%)

Insurance Median: $118 (196%)

Cash: $161 (267% of Medicare)

Ins. Median: $118 (196% 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
Coordinated Care Of Washington Inc	$18	30%
Molina Healthcare Of Washington	$18 - $67	30%
Wellpoint Washington, Inc.	$18	30%
Community Health Plan Of Washington	$24	40%
Ods Community Health Inc	$49	81%
Aetna	$63 - $210	105%
UnitedHealthcare	$63 - $145	105%
Humana	$67	111%
Kfhp Of Wa Options, Inc	$117	194%
Kfhp Of Wa	$119	197%
Blue Cross Blue Shield	$161	267%
Meritain Health	$176	292%
Cigna	$263 - $282	436%
Asuris Northwest Health	$347	576%

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 $161.
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 Trios Health 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.