CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Carle Eureka Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $110
Cash Discount Price: $245
vs. Medicare Baseline: 1.83x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Carle Eureka Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.83x the Medicare baseline. Located in 101 S Major St, Eureka, IL.

Cash / Self-Pay

$245

Average discount available for prompt cash payment at this facility.

Insurance Median

$110

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: $245 (407%)

Insurance Median: $110 (183%)

Cash: $245 (407% of Medicare)

Ins. Median: $110 (183% 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
Humana	$6 - $110	10%
Aetna	$7 - $162	12%
Meridian	$24 - $118	40%
Molina	$49 - $118	81%
Wellcare	$63	105%
UnitedHealthcare	$110 - $151	183%
Community Partners Health Plan (Cphp)	$147	244%
Cigna	$152	252%
Healthlink	$159	264%
Blue Cross Blue Shield	$164 - $206	272%
Multiplan/Phcs	$184	305%

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 $245.
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 Carle Eureka 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.