CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Marshfield Medical Center - Eau Claire

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $108
Cash Discount Price: $119
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Marshfield Medical Center - Eau Claire is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.79x the Medicare baseline. Located in 2310 Craig Rd, Eau Claire, WI.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $119 (197%)

Insurance Median: $108 (179%)

Cash: $119 (197% of Medicare)

Ins. Median: $108 (179% 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.

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)	$57 - $91	95%
Veteran'S Administration (Va Ccn)	$57	95%
Blue Cross Blue Shield	$59 - $110	98%
Group Health Cooperative Of Eau Claire	$60 - $112	100%
Family Health Center (Fhc)	$62	103%
Point Comfort Underwriters	$63	105%
Amish/Mennonite	$69	114%
Sanford Health Plan	$69	114%
The Alliance	$88 - $104	146%
UnitedHealthcare	$103	171%
Besse Forest Products	$106	176%
Molina Healthcare Of Wi	$106	176%
Rice Lake School District	$106	176%
Wps Health Insurance	$111 - $121	184%
Medica Of Wi	$116 - $119	192%
Cigna	$119	197%
Corvel	$119	197%
First Health	$119	197%
Health Partners	$119	197%
Healtheos By Multiplan Inc.	$119	197%
Three Rivers Provider Network (Trpn)	$119	197%
Trilogy	$119 - $120	197%
Coventry	$120	199%
Health Smart	$120	199%
Rising Medical Work Comp	$121	201%

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 $119.
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 - Eau Claire 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.