CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Shirley Ryan Abilitylab

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $262
Cash Discount Price: $213
vs. Medicare Baseline: 4.35x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Shirley Ryan Abilitylab is $262. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.35x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.

Cash / Self-Pay

$213

Average discount available for prompt cash payment at this facility.

Insurance Median

$262

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: $213 (353%)

Insurance Median: $262 (435%)

Cash: $213 (353% of Medicare)

Ins. Median: $262 (435% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 435% of the Medicare baseline (a markup of 335%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Uic Physician Group-Campuscare	$156 - $199	259%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co	$165 - $338	274%
State Of Illinois	$165 - $212	274%
Affordable Health Care Concepts	$187 - $239	310%
University Of Chicago Practice Plan	$202 - $259	335%
Health Care Services Corporation Dba Managed Care Network Preferred	$212 - $271	352%
Gallagher Benefit Administrators	$233 - $298	387%
Unicare Life And Health Insurance	$243 - $310	403%
Private Healthcare Systems	$249 - $318	413%
Resurrection Health Care Preferred	$249 - $318	413%
Uic Physician Group	$252 - $322	418%
Cofinity Aka Ppom	$264 - $338	438%
Health Payors Organization	$264 - $338	438%
Healthnetwork	$274 - $350	455%
Hfn	$280 - $358	465%

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 $213.
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 Shirley Ryan Abilitylab 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.