CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Holy Family Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $63
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Holy Family Medical Center is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 100 N River Rd, Des Plaines, IL.
Cash / Self-Pay
$62

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: $62 (103%)
Insurance Median: $63 (105%)
Cash: $62 (103% 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
Ravenswood Physicians Associates Ipa $7 - $63 12%
Resurrection Physicians Provider Group Ipa $7 - $63 12%
Aetna $22 - $66 37%
Blue Cross Blue Shield $22 - $88 37%
Countycare $22 37%
Humana $22 - $69 37%
Medicaid / KanCare $22 37%
Meridian $23 - $66 38%
Molina $23 - $94 38%
Celtic (Wellcare) $63 105%
Cigna $63 105%
Clear Spring Health Of Illinois $63 105%
Devoted Health $63 105%
Essential Health Partners $63 - $72 105%
Illinois Physicians Alliance $63 105%
Longevity Health Plan Of Illinois $63 105%
Medicare (plans) $63 105%
Self-Pay $63 105%
Tricare $63 105%
United Behavioral Health $63 105%
UnitedHealthcare $63 - $598 105%
Zing Health Provider Network $65 108%
Provider Partners Health Plan (Pphp) $66 110%
Access Community Health Network $75 124%
Clifton Health Systems $98 163%
Ambetter / Centene $102 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 N River Rd, Des Plaines, IL 60016
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL