CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Snoqualmie Valley Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $151
Cash Discount Price: $208
vs. Medicare Baseline: 2.51x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Snoqualmie Valley Hospital is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.51x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$208

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: $208 (345%)

Insurance Median: $151 (251%)

Cash: $208 (345% 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
Amerigroup Wellpoint	$4 - $178	7%
Community Health Plan Of Wa Mcd Rep	$4 - $168	7%
Medicaid / KanCare	$4 - $168	7%
Molina Healthcare Of Washington Mcd Rep	$4 - $181	7%
UnitedHealthcare	$4 - $330	7%
Washington Coordinated Care	$4 - $181	7%
Blue Shield Of Wa Regence	$8 - $215	13%
Blue Shield Of Wa Regence Mcr Adv	$8 - $153	13%
Community Health Plan Of Wa	$8 - $154	13%
Molina Healthcare Of Washington	$8 - $154	13%
Molina Healthcare Of Washington Mcr Adv	$8 - $151	13%
Blue Cross Blue Shield	$9 - $215	15%
Aetna	$10 - $209	17%
First Choice Health Network	$11 - $251	18%
Medicare (plans)	$151	251%
Humana	$153	254%
Kaiser Foundation Health Plan Of The Northwest	$226	375%
Cigna	$287	476%

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 $208.
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 Snoqualmie Valley 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.