CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $55
Cash Discount Price: $164
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Medical West, An Affiliate of UAB Health System is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.91x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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: $164 (272%)

Insurance Median: $55 (91%)

Cash: $164 (272% of Medicare)

Ins. Median: $55 (91% 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
Cigna	$12 - $283	20%
Viva	$24 - $196	40%
Phcs	$28 - $274	46%
Beech Street	$29 - $274	48%
One Health Plan	$31 - $254	51%
Aetna	$33 - $274	55%
Geha	$33 - $274	55%
Healthchoice	$33 - $274	55%
Alamed	$37 - $306	61%
Construction Claims Management	$38 - $316	63%
Corvel	$39 - $352	65%
Multiplan	$39 - $321	65%
Novanet	$39 - $326	65%
Humana	$40 - $332	66%
Department Of Labor	$41 - $340	68%
Heritage Summit Health	$41 - $340	68%
Pnoa	$42 - $352	70%
Three Rivers	$42 - $352	70%
Blue Cross Blue Shield	$53	88%
Cooper Green	$54	90%
Jefferson County Sheriff	$54	90%
Triwest	$54	90%
United Mine Workers	$54	90%
UnitedHealthcare	$54 - $274	90%
Ambetter / Centene	$74	123%

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 $164.
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 Medical West, An Affiliate of UAB Health System 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.