CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Cascade Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $133
Cash Discount Price: $184
vs. Medicare Baseline: 2.21x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Cascade Medical Center is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.21x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$184

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $184 (305%)

Insurance Median: $133 (221%)

Cash: $184 (305% of Medicare)

Ins. Median: $133 (221% 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 221% of the Medicare baseline (a markup of 121%). 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
Tricare	$6	10%
First Choice Health Network	$11	18%
Pacificsource Health Plans	$11	18%
Medicaid / KanCare	$123	204%
Asuris Northwest Health	$128 - $207	212%
Community Health Plan Of Wa Mcd Rep	$128	212%
Coordinated Care Of Wa Mcd Rep	$128	212%
Molina Healthcare Of Washington Mcd Rep	$128	212%
Aetna	$133 - $207	221%
Blue Cross Blue Shield	$133 - $175	221%
Humana	$133	221%
Medicare (plans)	$133	221%
Molina Healthcare Of Washington Mcr Adv	$134	222%
Ambetter / Centene	$144	239%
Wellcare Health Plan Inc Mcr Adv	$144	239%
Community Health Plan Of Wa	$150	249%
Cigna	$192	319%
Washington Department Of Labor And Industry	$205	340%

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 $184.
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 Cascade Medical Center 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.