CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Othello Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $151
Cash Discount Price: $142
vs. Medicare Baseline: 2.51x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Othello Community Hospital is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.51x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $142 (236%)

Insurance Median: $151 (251%)

Cash: $142 (236% of Medicare)

Ins. Median: $151 (251% 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 251% of the Medicare baseline (a markup of 151%). 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
Ambetter / Centene	$80 - $81	133%
Amerigroup Mcaid	$80	133%
Chp Mcaid	$80	133%
Cocare - All Plans	$80	133%
Gau - All Plans	$80	133%
Kaiser - All Plans	$80	133%
Molina Mcaid	$80	133%
UnitedHealthcare	$80 - $189	133%
Chp - All Other Plans	$81	134%
Molina - All Other Plans	$81	134%
Medicare (plans)	$94	156%
Tricare	$123	204%
Triwest - All Plans	$123	204%
Asuris - All Plans	$151	251%
Commercial Other - All Plans	$151	251%
Hma - All Plans	$151	251%
Hmso - All Plans	$151	251%
Tpsc - All Plans	$151	251%
Travelers - All Plans	$151	251%
Veterans Admin - All Plans	$151	251%
Blue Cross Blue Shield	$159	264%
Cigna	$168	279%
First Choice - All Plans	$170	282%
Aetna	$177	294%
Chp Mcr Adv	$189	314%
Health Alliance Mcr Adv - All Plans	$189	314%
Humana	$189	314%
Molina Mcare	$189	314%
Wellcare Mcr Adv - All Plans	$189	314%

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 $142.
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 Othello Community 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.