CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Ochsner Choctaw General

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $104
Cash Discount Price: $105
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Ochsner Choctaw General is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.73x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $105 (174%)

Insurance Median: $104 (173%)

Cash: $105 (174% of Medicare)

Ins. Median: $104 (173% 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
Humana	$4 - $196	7%
Cigna	$5 - $196	8%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$5 - $196	8%
Medicaid / KanCare	$5 - $48	8%
Medicare (plans)	$5 - $225	8%
UnitedHealthcare	$5 - $196	8%
Prime Health Services Ppo	$6 - $200	10%
Shared Health Mississippi	$6 - $206	10%
Primewell Health Services Commercial Exchange Plan	$8 - $168	13%
Primewell Health Services – Commercial	$8 - $168	13%
Aetna	$10 - $11	17%
Blue Cross Blue Shield	$10 - $81	17%
Zelis	$23 - $188	38%
Claritev D/B/A Multiplan/Phcs/American Life Care	$25 - $188	41%
Ambetter / Centene	$63 - $114	105%
Prime Health Services Ppo -Workers Comp	$85 - $200	141%
Cor Vel	$86 - $204	143%
Select Administrative Services Network	$97 - $175	161%

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 $105.
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 Ochsner Choctaw General 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.