CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: St Marys Good Samaritan Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $46
Cash Discount Price: $111
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at St Marys Good Samaritan Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.76x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $111 (184%)

Insurance Median: $46 (76%)

Cash: $111 (184% of Medicare)

Ins. Median: $46 (76% 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
Peach State	$16	27%
Wellcare	$16 - $46	27%
Blue Cross Blue Shield	$33 - $123	55%
Aetna	$46 - $136	76%
Ambetter / Centene	$46	76%
Care Improvement Plus	$46	76%
Caresource	$46	76%
Cigna	$46 - $139	76%
Coventry	$46 - $128	76%
Eon Health Plan	$46	76%
Humana	$46 - $128	76%
Kaiser Permanente	$46	76%
Molina	$46	76%
Pruitthealth Premier	$46	76%
Todays Options Pffs	$46	76%
Todays Options Ppo	$46	76%
UnitedHealthcare	$46 - $2,632	76%
Vaccn United	$46	76%
First Health	$128	212%
Phcs	$128	212%
Meritain	$136	226%
Multiplan	$144 - $148	239%
Nova	$144 - $153	239%
Three Rivers Provider Network	$153	254%
Amerigroup	$170	282%

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 $111.
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 St Marys Good Samaritan 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.