CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Deaconess Illinois Crossroads

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $63
  • Cash Discount Price: $174
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Deaconess Illinois Crossroads is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $174. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$174

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: $174 (289%)
Insurance Median: $63 (105%)
Cash: $174 (289% 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 $6 - $624 10%
Blue Cross Blue Shield $6 - $375 10%
Humana $6 - $616 10%
Meridian Health Plan $6 - $62 10%
Molina Healthcare Of Illinois $6 - $63 10%
Mytru Advantage $6 - $62 10%
Umwa $6 - $62 10%
UnitedHealthcare $6 - $458 10%
Wellcare $6 - $62 10%
Alliance Coal $8 - $102 13%
Alter-Net Medical Services, Inc. $9 - $277 15%
Deaconess Onecare $9 - $435 15%
Noncontracted $9 - $99 15%
Self-Pay $17 - $174 28%
Cigna $19 - $307 32%
Prime Health Services $37 - $593 61%
Guardian Resources, Inc. $41 - $664 68%
Healthcare'S Finest Network (Hfn) $42 - $672 70%
Medicalcontrol Network Solutions $42 - $672 70%
National Provider Network $42 - $672 70%
Beech Street $43 - $696 71%
Three Rivers Provider Network $43 - $688 71%
Care Improvement Plus $63 105%
Hope Trust $176 - $277 292%
Wexford Health Sources $356 - $553 591%
Encore Prime/Elite/Elite + $434 - $448 720%
Encore Combined $482 - $498 800%
Great West Healthcare Of Illinois $593 984%
Multiplan - Primary Network - Phcs $620 1029%
Healthlink $632 - $672 1049%
Coventry Healthcare $665 1103%
First Health $665 1103%
Multiplan - Complementary Network $675 1120%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals