CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Piedmont Henry Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $441
Cash Discount Price: $190
vs. Medicare Baseline: 7.32x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Piedmont Henry Hospital is $441. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 7.32x the Medicare baseline. Located in 1133 Eagle's Landing Parkway, Stockbridge, GA.

Cash / Self-Pay

$190

Average discount available for prompt cash payment at this facility.

Insurance Median

$441

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: $190 (315%)

Insurance Median: $441 (732%)

Cash: $190 (315% of Medicare)

Ins. Median: $441 (732% 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 732% of the Medicare baseline (a markup of 632%). 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
Medicaid / KanCare	$54 - $56	90%
UnitedHealthcare	$285 - $439	473%
Cigna	$308 - $431	511%
Alliant Health Plans Of Georgia [10952]	$431	715%
First Health [10303]	$444	737%
Phcs [10601]	$444	737%
Aetna	$463	768%
Kaiser [10500]	$469	778%
Novanet [10819]	$475	788%
Beechstreet [10800]	$539	894%
Multiplan [10600]	$539	894%

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 $190.
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 Piedmont Henry Hospital 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.