CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Hancock Regional Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $281
  • Cash Discount Price: $276
  • vs. Medicare Baseline: 4.66x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Hancock Regional Hospital is $281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $276. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.66x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$276

Average discount available for prompt cash payment at this facility.

Insurance Median
$281

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: $276 (458%)
Insurance Median: $281 (466%)
Cash: $276 (458% of Medicare)
Ins. Median: $281 (466% 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 466% of the Medicare baseline (a markup of 366%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $62 - $345 103%
Iu Health Mcr Adv $62 103%
Triwest - All Plans $62 103%
UnitedHealthcare $62 - $345 103%
Va Ccn - All Plans $62 103%
Beech Street Mcr Adv $64 106%
Caresource Mcr Adv $64 106%
Humana $64 - $328 106%
Allwell Mcr Adv - All Plans $66 110%
Communicare Mcr Adv - All Plans $66 110%
Ambetter / Centene $125 207%
Caresource Comm - All Other Plans $156 259%
Iu Health-All Other Plans $172 285%
Ascension - All Plans $259 430%
Aetna $262 - $345 435%
Cigna $276 458%
Encore Encircle $276 458%
Hancock Phys Network-All Plans $276 458%
Unified Group Services- All Plans $276 458%
Advantage Self Funded Ppo-All Other Plans $283 470%
Healthmark/Healthchoice-All Plans $283 470%
Sagamore-All Plans $283 470%
Encore-All Other Plans $293 486%
Consumers Life-All Plans $304 504%
St Vincent Cmo-All Plans $304 504%
Siho-All Plans $310 514%
Great West-All Plans $317 526%
Savility - All Plans $317 526%
Cofinity/Ppom - All Plans $321 533%
First Health/Coventry-All Plans $324 538%
Mail Handlers-All Plans $324 538%
Golden Rule Ins-All Plans $328 544%
Indiana Health Network-All Plans $328 544%
Phcs-All Plans $328 544%
Beech Street Ppo - All Other Plans $331 549%
Comm Hlth Alliance - All Plans $335 556%
Multiplan-All Plans $338 561%
Advantage Preferred Plus $345 572%
Healthy Indiana Plan-All Plans $345 572%
Mhs/Mdwise Mcaid-All Plans $345 572%
Copps - All Plans $711 1180%
Pro Health - All Plans $1,035 1717%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals