CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Goshen Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $57
Cash Discount Price: $233
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Goshen Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.95x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.

Cash / Self-Pay

$233

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $233 (387%)

Insurance Median: $57 (95%)

Cash: $233 (387% of Medicare)

Ins. Median: $57 (95% 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
Advantage Health Solutions	$57	95%
Aetna	$57	95%
Atrio Health Plans	$57	95%
Bc Federal Employee	$57	95%
Bc Mcr Advantage Ppo	$57	95%
Blue Cross Blue Shield	$57 - $194	95%
Buckeye Health Plan	$57	95%
Cigna	$57	95%
Coventry Health And Life	$57	95%
Emblem Health	$57	95%
Freedom Healthcare	$57	95%
Geisinger Health Plan	$57	95%
Health First	$57	95%
Healthspring	$57	95%
Humana	$57	95%
Iehp Empire Health Plan	$57	95%
Independent Care Health Plan	$57	95%
Kaiser Permanente	$57	95%
Mcr Advantra Freedom	$57	95%
Mcr Allwell Mhs	$57	95%
Mcr Banner Health	$57	95%
Mcr Complete	$57	95%
Mcr Complete Ppo	$57	95%
Mcr Complete Wellmed	$57	95%
Mcr Health Alliance	$57	95%
Mcr Health Partners Plans	$57	95%
Mcr Medical Mutual Of Ohio	$57	95%
Mcr Passport Advantage	$57	95%
Mcr Secure Horizons Ppo	$57	95%
Mcr Texan Plus	$57	95%
Mcr Upmc For Life	$57	95%
Medicare (plans)	$57 - $61	95%
Meridian Complete	$57	95%
Optimum Healthcare	$57	95%
Paramount Elite	$57	95%
Primetime Health Plan	$57	95%
Simply Complete Hmo	$57	95%
The Umwa H&R Funds	$57	95%
Todays Options Pyramid Life	$57	95%
Trillium Advantage	$57	95%
Ucare For Seniors	$57	95%
Ucare Minnesota	$57	95%
UnitedHealthcare	$57	95%
Wellcare	$57	95%
Champva	$59	98%
Tricare	$59	98%
Mcr Devoted Health Plan	$61	101%
Mcr Provider Partners Hlth Pln	$65	108%
Ambetter / Centene	$83	138%
Mkt Caresource	$83	138%
Bc Allied	$194	322%

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 $233.
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 Goshen 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.