CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Wabash General Hospital 1

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $64
Cash Discount Price: $139
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Wabash General Hospital 1 is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.06x the Medicare baseline. Located in 1418 College Drive, Mount Carmel, IL.

Cash / Self-Pay

$139

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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: $139 (231%)

Insurance Median: $64 (106%)

Cash: $139 (231% of Medicare)

Ins. Median: $64 (106% 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
Blue Cross Blue Shield	$22 - $175	37%
UnitedHealthcare	$23 - $161	38%
Health Alliance Mcr Adv - All Plans	$24 - $64	40%
Aetna	$50 - $171	83%
Healthlink Hmo	$53 - $141	88%
Cigna	$57 - $151	95%
Encore Combined Ip/Op Only	$57 - $151	95%
Hope Trust - All Plans	$57 - $151	95%
Healthlink Ppo - All Other Plans	$61 - $161	101%
Phcs - All Plans	$61 - $161	101%
Meridian Mcaid - All Plans	$62	103%
Molina Mcaid - All Plans	$62	103%
Health Smart - All Plans	$64 - $171	106%
Hfn - All Plans	$64 - $171	106%
Multiplan - All Plans	$64 - $171	106%
Siho Network - All Plans	$64 - $171	106%
Encore Health Network Ip/Op Only - All Other Plans	$68 - $181	113%

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 $139.
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 Wabash General Hospital 1 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.