CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Black River Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $169
Cash Discount Price: $187
vs. Medicare Baseline: 2.80x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Black River Memorial Hospital is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.80x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$187

Average discount available for prompt cash payment at this facility.

Insurance Median

$169

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: $187 (310%)

Insurance Median: $169 (280%)

Cash: $187 (310% of Medicare)

Ins. Median: $169 (280% 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 280% of the Medicare baseline (a markup of 180%). 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
Blue Cross Blue Shield	$16 - $241	27%
Group Health Cooperative Of Eau Claire	$16 - $266	27%
My Choice Wisconsin, Inc.	$16 - $140	27%
Quartz Health Solutions, Inc	$16 - $249	27%
UnitedHealthcare	$16 - $258	27%
Humana	$76 - $255	126%
Security Health Plan	$76 - $256	126%
Corvel	$91 - $167	151%
The Alliance	$127 - $263	211%
Triology Health Solutions	$134 - $260	222%
Medica	$139 - $256	231%
Association Benefits Solution	$142 - $260	236%
Family Health Center Of Marshfield	$142 - $260	236%
First Health Group Corporation	$142 - $260	236%
Provider Network Of America	$142 - $260	236%
Cigna	$145 - $266	241%
Cofinity	$145 - $266	241%
Coventry Health Care	$145 - $266	241%
Custom Benefit Administrators	$145 - $266	241%
Healthpartners, Inc.	$145 - $266	241%
Multiplan	$145 - $271	241%
Wisconsin Physicians Service Insurance Corp	$145 - $266	241%
Chorus	$146 - $269	242%

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 $187.
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 Black River Memorial Hospital 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.