CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Gundersen Moundview Hospital and Clinics

Billing Code: 93005 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$83
about 1.4× the $60 Medicare rate · typically $13–$219
modeled estimate · not a bill or quote
What this hospital charges insurers
$80
About the fair price
about $3 under the fair price · 1.3× Medicare
Medicare pays $60 Fair price $83 This hospital $80 Cash price $154 Hospital's list price $300

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $80

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Electrocardiogram (EKG, tracing only) is about $83 (about 1.4× the $60 Medicare rate). Gundersen Moundview Hospital and Clinics charges insurers about $80, or about $154 in cash — about the fair price. Located in Friendship, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $148 246%
Blue Cross Blue Shieldmajor $80 - $218 133%
Aetnamajor $285 473%
Humanamajor $255 423%
Amerigroup $11 18%
Dean Health Plan $239 397%
HealthPartners $138 - $265 229%
Quartz $164 272%
Security Health Plan $138 229%
UCare $138 - $240 229%
+ 5 smaller / regional plans $80 - $285
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 402 W Lake St, Friendship, WI 53934
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals