CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Columbus Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $46
Cash Discount Price: $89
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Columbus Community Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.76x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $89 (148%)

Insurance Median: $46 (76%)

Cash: $89 (148% of Medicare)

Ins. Median: $46 (76% 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
Icare	$3 - $91	5%
Cigna	$6 - $187	10%
Quartz	$7 - $206	12%
Security Health Plan	$7 - $234	12%
Blue Cross Blue Shield	$8 - $241	13%
Health Payment Systems	$8 - $235	13%
Trilogy	$8 - $257	13%
UnitedHealthcare	$8 - $260	13%
Wps	$8 - $264	13%
First Health	$9 - $275	15%
Healtheos	$9 - $291	15%
Humana	$9 - $282	15%
Dean Health Plan	$46 - $172	76%
My Choice Wisconsin	$46 - $60	76%
Alliance	$58	96%

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 $89.
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 Columbus Community 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.