CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Sheridan Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $172
Cash Discount Price: $92
vs. Medicare Baseline: 2.85x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Sheridan Memorial Hospital is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.85x the Medicare baseline. Located in 1401 W 5Th St, Sheridan, WY.

Cash / Self-Pay

$92

Average discount available for prompt cash payment at this facility.

Insurance Median

$172

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: $92 (153%)

Insurance Median: $172 (285%)

Cash: $92 (153% of Medicare)

Ins. Median: $172 (285% 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 285% of the Medicare baseline (a markup of 185%). 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
Humana	$7 - $65	12%
Medi-Share Profee Only - All Plans	$23	38%
Miscellaneous-All Plans	$23 - $183	38%
Pacificsource-All Plans	$23 - $179	38%
Wise Provider Network-All Plans	$23 - $189	38%
Cigna	$24 - $189	40%
First Choice Comm - All Plans	$25 - $193	41%
Phcs Multiplan-All Plans	$25 - $193	41%
Three Rivers-All Plans	$25 - $193	41%
Blue Cross Blue Shield	$80 - $168	133%
Wy School Boards-All Plans	$170	282%
UnitedHealthcare	$174	289%
C1 Employee - All Plans	$183	304%
Casper Opco Llc - All Plans	$183	304%
First Health Comm - All Plans	$183	304%
Ebms - All Plans	$193	320%

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 $92.
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 Sheridan 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.