CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Athur M Blank Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $350
Cash Discount Price: $511
vs. Medicare Baseline: 5.81x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Athur M Blank Hospital is $350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $511. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 5.81x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$511

Average discount available for prompt cash payment at this facility.

Insurance Median

$350

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: $511 (848%)

Insurance Median: $350 (581%)

Cash: $511 (848% of Medicare)

Ins. Median: $350 (581% 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 581% of the Medicare baseline (a markup of 481%). 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
Peachstate [43]	$218	362%
Caresource [61]	$225	373%
Amerigroup [102]	$235	390%
Cigna	$338	561%
Blue Cross Blue Shield	$339 - $499	562%
United [5]	$339	562%
Ambetter / Centene	$342	567%
Oscar [228]	$342	567%
Aetna	$344	571%
Caresource Marketplace Bronze/Silver/Gold [60]	$347	576%
Kaiser [6]	$348	577%
Sidecar Health [236]	$353	586%
Direct Employer Agreements [72]	$358 - $434	594%
Coventry [9]	$359	596%
Northeast Georgia Heatlh System [808]	$383	635%
Veracity Benefits [809]	$383	635%
First Health [74]	$384	637%
Phcs [93]	$434	720%
Secure Health [340]	$434	720%
Beech Street [71]	$460	763%
Multiplan [92]	$501	831%
Novanet [41]	$511	848%

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 $511.
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 Athur M Blank 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.