CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Prosser Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $75
Cash Discount Price: $156
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Prosser Memorial Hospital is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.24x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$156

Average discount available for prompt cash payment at this facility.

Insurance Median

$75

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: $156 (259%)

Insurance Median: $75 (124%)

Cash: $156 (259% of Medicare)

Ins. Median: $75 (124% 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
Amerigroup	$4 - $150	7%
Community Health Plan Of Washington	$4 - $142	7%
Coordinated Care	$4 - $142	7%
Kaiser Permanente	$4 - $318	7%
Molina	$4 - $142	7%
UnitedHealthcare	$4 - $280	7%
Cigna	$5 - $287	8%
Health Alliance Northwest	$7 - $88	12%
Humana	$7 - $298	12%
Wellcare	$7 - $88	12%
Aetna	$9 - $298	15%
Asuris	$12 - $315	20%
Health Management Adminstrators	$12 - $315	20%
Regence	$12 - $315	20%
Ambetter / Centene	$13 - $270	22%
Multiplan	$221 - $315	367%
Premera	$280	465%
First Choice	$298	494%

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 $156.
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 Prosser 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.