CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Marshfield Medical Center - Weston

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $97
  • Cash Discount Price: $106
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Marshfield Medical Center - Weston is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.61x the Medicare baseline. Located in 3400 Ministry Parkway, Weston, WI.
Cash / Self-Pay
$106

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $106 (176%)
Insurance Median: $97 (161%)
Cash: $106 (176% of Medicare)
Ins. Median: $97 (161% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Family Health Center (Fhc) $56 93%
Security Health Plan (Shp) $56 - $82 93%
UnitedHealthcare $56 - $93 93%
Veteran'S Administration (Va Ccn) $56 93%
Blue Cross Blue Shield $58 - $99 96%
Group Health Cooperative Of Eau Claire $60 - $101 100%
Amish/Mennonite $62 103%
Sanford Health Plan $62 103%
The Alliance $80 - $94 133%
Besse Forest Products $95 158%
Molina Healthcare Of Wi $95 158%
Rice Lake School District $95 158%
Wps Health Insurance $99 - $108 164%
Medica Of Wi $104 - $107 173%
Cigna $105 174%
Healtheos By Multiplan Inc. $105 - $106 174%
Corvel $106 176%
First Health $106 176%
Health Partners $106 176%
Three Rivers Provider Network (Trpn) $106 176%
Trilogy $107 - $108 178%
Coventry $108 179%
Health Smart $108 179%
Rising Medical Work Comp $109 181%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Ministry Parkway, Weston, WI 54476
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals