CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Southern Regional Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $59
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Southern Regional Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$59

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: $58 (96%)
Insurance Median: $59 (98%)
Cash: $58 (96% of Medicare)
Ins. Median: $59 (98% 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 $6 - $59 10%
Humana $12 - $58 20%
Americas Choice Provider Network $59 98%
Blue Cross Blue Shield $59 98%
Cigna $59 - $123 98%
Clear Spring Health Plan $59 98%
Corvel $59 98%
Georgia Workers’ Compensation $59 98%
Medicare (plans) $59 98%
Multiplan $59 98%
Novanet $59 98%
Prime Health Services $59 98%
Provider Select $59 98%
Riverwood Behavioral Health $59 - $74 98%
Three Rivers $59 98%
Tricare $59 98%
UnitedHealthcare $59 98%
Caresource $61 - $103 101%
Devoted Health $61 101%
Peach State $61 - $71 101%
Sonder Health Plan $62 103%
Wellcare $62 103%
Oscar Health Plan $77 128%
Employer Direct Healthcare $82 136%
Centurion $88 146%
Naphcare $91 151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals