CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Garfield County Public Hospital District #1

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $273
  • Cash Discount Price: $258
  • vs. Medicare Baseline: 4.53x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Garfield County Public Hospital District #1 is $273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.53x the Medicare baseline. Located in 66 North Sixth Street, Pomeroy, WA.
Cash / Self-Pay
$258

Average discount available for prompt cash payment at this facility.

Insurance Median
$273

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: $258 (428%)
Insurance Median: $273 (453%)
Cash: $258 (428% of Medicare)
Ins. Median: $273 (453% 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 453% of the Medicare baseline (a markup of 353%). 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
Cigna $242 402%
Three Rivers Provider Network - All Plans $258 428%
Aetna $273 453%
Coordinated Care - All Plans $273 453%
First Choice Health Network - All Plans $273 453%
Premera First - All Plans $273 453%
Multiplan Primary Network - All Other Plans $279 463%
Medical Cost Containment Ppo - All Plans $288 478%
Multiplan Complementary $288 478%
Provider Network Of America - All Plans $288 478%
Regence Blue Shield Of Idaho - All Plans $303 503%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 66 North Sixth Street, Pomeroy, WA 99347
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals