CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Marshfield Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $160
Cash Discount Price: $171
vs. Medicare Baseline: 2.65x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Marshfield Medical Center is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.65x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.

Cash / Self-Pay

$171

Average discount available for prompt cash payment at this facility.

Insurance Median

$160

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: $171 (284%)

Insurance Median: $160 (265%)

Cash: $171 (284% of Medicare)

Ins. Median: $160 (265% 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 265% of the Medicare baseline (a markup of 165%). 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
Security Health Plan (Shp)	$56 - $134	93%
Veteran'S Administration (Va Ccn)	$56	93%
Blue Cross Blue Shield	$58 - $158	96%
Group Health Cooperative Of Eau Claire	$60 - $166	100%
Family Health Center (Fhc)	$90	149%
Amish/Mennonite	$99	164%
Sanford Health Plan	$99	164%
The Alliance	$125 - $150	207%
Besse Forest Products	$153	254%
Molina Healthcare Of Wi	$153	254%
Rice Lake School District	$153	254%
Wps Health Insurance	$159 - $174	264%
Trilogy	$162 - $173	269%
UnitedHealthcare	$164	272%
Medica Of Wi	$167 - $170	277%
Cigna	$169	280%
Healtheos By Multiplan Inc.	$169 - $171	280%
Corvel	$171	284%
First Health	$171	284%
Health Partners	$171	284%
Three Rivers Provider Network (Trpn)	$171	284%
Coventry	$173	287%
Health Smart	$173	287%
Rising Medical Work Comp	$175	290%

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 $171.
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 Marshfield 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.