CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: The East Alabama Healthcare Authority

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $87
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at The East Alabama Healthcare Authority is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.44x the Medicare baseline. Located in 2000 Pepperell Parkway, Opelika, AL.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $60 (100%)
Insurance Median: $87 (144%)
Cash: $60 (100% of Medicare)
Ins. Median: $87 (144% 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.

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
Aetna $5 - $112 8%
Blue Cross Blue Shield $5 - $54 8%
Cigna $5 - $106 8%
Humana $5 - $108 8%
Simpra $5 - $54 8%
Viva $5 - $134 8%
Novanet $16 27%
Beechstreet $51 - $94 85%
Alabama Crime Victims $54 - $55 90%
Mcm Maxcare $86 - $88 143%
Mega Life $86 - $88 143%
UnitedHealthcare $86 - $88 143%
Coventry First Health $91 - $94 151%
Geha $91 - $94 151%
Multiplan $91 - $94 151%
Workers Comp $91 - $94 151%
Trpn $96 - $99 159%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Pepperell Parkway, Opelika, AL 36801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals