CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $143
Cash Discount Price: $183
vs. Medicare Baseline: 2.37x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.37x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$183

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $183 (304%)

Insurance Median: $143 (237%)

Cash: $183 (304% of Medicare)

Ins. Median: $143 (237% 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 237% of the Medicare baseline (a markup of 137%). 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
Humana	$57 - $172	95%
Managed Health Services	$57	95%
Molina Healthcare Of Wi	$57 - $164	95%
Network Health Plan	$57 - $161	95%
Quartz	$57 - $110	95%
Security Health Plan (Shp)	$57 - $111	95%
UnitedHealthcare	$57 - $145	95%
Veteran'S Administration (Va Ccn)	$57	95%
Blue Cross Blue Shield	$58 - $143	96%
Group Health Cooperative Of Eau Claire	$60 - $183	100%
Icare	$61	101%
The Alliance	$98	163%
Amish/Mennonite	$106	176%
Wps Health Insurance	$130	216%
Cigna	$131 - $143	217%
Health Payment Systems	$134	222%
First Health	$164	272%
Trilogy	$174	289%
Healtheos By Multiplan Inc.	$179 - $183	297%
Health Partners	$183	304%
Coventry	$185	307%

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 $183.
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 - Beaver Dam (Mmc-Bd) 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.