CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Lincoln Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $24
Cash Discount Price: $23
vs. Medicare Baseline: 0.40x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Lincoln Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.40x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$23

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

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: $23 (38%)

Insurance Median: $24 (40%)

Cash: $23 (38% of Medicare)

Ins. Median: $24 (40% 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
Ambetter / Centene	$4 - $121	7%
Amerigroup Mcaid - All Plans	$4 - $129	7%
Molina Hlthy Options	$4 - $121	7%
UnitedHealthcare	$4 - $228	7%
Aetna	$7 - $246	12%
Asuris Nw Health-All Plans	$7 - $239	12%
Indian Hlth Services - All Plans	$7 - $236	12%
Tricare	$7 - $236	12%
Va Ccn - All Plans	$7 - $236	12%
First Choice Health- All Plans	$11 - $252	18%
Labor & Industries - All Plans	$12	20%
Molina Exchange-All Other Plans	$12 - $335	20%
Cigna	$19 - $198	32%
Focus Healthcare Mgmt - All Plans	$20 - $207	33%
Blue Cross Blue Shield	$22 - $228	37%
First Health Coventry-All Plans	$22 - $231	37%
Uniform Medical Plan-All Plans	$22 - $228	37%
Health Management Network-All Plans	$23 - $233	38%
Three Rivers-All Plans	$23 - $233	38%
Multiplan-All Plans	$24 - $246	40%
Physician Hosp Comm Org-All Plans	$24 - $246	40%

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 $23.
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 Lincoln 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.