CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $63
  • Cash Discount Price: $230
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Sarah Bush Lincoln Health Center is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$230

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $230 (382%)
Insurance Median: $63 (105%)
Cash: $230 (382% of Medicare)
Ins. Median: $63 (105% 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 $7 - $352 12%
Bc Comm Mmai $7 - $68 12%
Bc Med Adv Ppo/Hmo $7 - $70 12%
Beacon Health Options Behav-All Plans $7 - $68 12%
Hlth Alliance Mcr Adv $7 - $68 12%
Humana $7 - $69 12%
Meridian Mcaid $7 - $32 12%
Meridian Mmai-All Other Plans $7 - $68 12%
Molina Mmai-All Other Plans $7 - $68 12%
Tricare $7 - $68 12%
UnitedHealthcare $7 - $325 12%
Va Ccn-All Plans $7 - $68 12%
Wellcare Med Adv-All Plans $7 - $68 12%
Blue Cross Blue Shield $8 - $313 13%
First Health-All Plans $10 - $332 17%
Multiplan-All Plans $12 - $336 20%
Plain Church Mg-All Plans $27 - $156 45%
Mennonite-All Plans $31 - $176 51%
Bc Comm Care Mcaid $32 - $175 53%
Hlth Alliance Mcaid $32 - $175 53%
Molina Mcaid $32 - $175 53%
Eiu Athlete-All Other Plans $48 - $274 80%
Healthscope-All Plans $50 - $289 83%
Rural King-All Plans $50 - $289 83%
Hope Trust-All Plans $54 - $313 90%
Eiu Student $56 - $321 93%
Allied National-All Plans $57 - $328 95%
Companion Life-All Plans $57 - $328 95%
Healthlink Hmo $58 - $336 96%
Healthlink Ppo - All Other Plans $58 - $336 96%
Innovative Hlthware-All Plans $58 - $332 96%
Cigna $61 - $352 101%
Consociate-All Plans $61 - $313 101%
Cphp-All Plans $61 - $352 101%
Beech Street-All Plans $63 - $360 105%
Hfn-All Plans $63 - $360 105%
Hlth Alliance-All Other Plans $328 544%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Health Center Drive P O Box 372, Mattoon, IL 61938
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals