CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Marshall Browning Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $106
Cash Discount Price: $218
vs. Medicare Baseline: 1.76x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Marshall Browning Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $218. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.76x the Medicare baseline. Located in 900 North Washington Street, Du Quoin, IL.

Cash / Self-Pay

$218

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $218 (362%)

Insurance Median: $106 (176%)

Cash: $218 (362% of Medicare)

Ins. Median: $106 (176% 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
Aetna	$58 - $247	96%
Blue Cross Blue Shield	$58 - $285	96%
Meridian Hp Mcaid - All Plans	$58	96%
Molina Mcaid - All Plans	$58	96%
Health Alliance Mcr Adv	$106	176%
Humana	$106	176%
UnitedHealthcare	$106 - $271	176%
Wellcare Mcr Adv - All Plans	$106	176%
Healthlink Hmo - All Other Plans	$218	362%
Healthlink Ppo	$218	362%
Cigna	$232	385%
Health Alliance - All Other Plans	$265	440%
Multiplan/Phcs - All Plans	$281	466%
Zelis - All Plans	$281	466%
Hope Trust - All Plans	$371	616%

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 $218.
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 Marshall Browning 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.