CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Atrium Health Floyd Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $173
Cash Discount Price: $231
vs. Medicare Baseline: 2.87x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Atrium Health Floyd Medical Center is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $231. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.87x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$231

Average discount available for prompt cash payment at this facility.

Insurance Median

$173

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: $231 (383%)

Insurance Median: $173 (287%)

Cash: $231 (383% of Medicare)

Ins. Median: $173 (287% 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 287% of the Medicare baseline (a markup of 187%). 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
Aetna	$58 - $313	96%
Blue Cross Blue Shield	$58 - $346	96%
Caresource	$58 - $87	96%
Cigna	$58 - $277	96%
Georgia Assurance	$58	96%
Humana	$58 - $300	96%
UnitedHealthcare	$58 - $346	96%
Wellcare	$59	98%
Clover	$60	100%
Amerigroup	$78	129%
Peach State Health Plan	$79	131%
Alliant Health Plans	$87 - $184	144%
Ambetter / Centene	$87	144%
Occunet	$87	144%
Awc Networks	$90	149%
Oscar Health Plan	$90 - $161	149%
Beacon	$230	382%
Evernorth	$230	382%
Multiplan	$323	536%
Beech Street	$360	597%
Private Health Care Systems	$392	650%

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 $231.
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 Atrium Health Floyd Medical Center 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.