CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Franciscan Health Mooresville

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $207
Cash Discount Price: $82
vs. Medicare Baseline: 3.43x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Franciscan Health Mooresville is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.43x the Medicare baseline. Located in 1201 Hadley Rd, Mooresville, IN.

Cash / Self-Pay

$82

Average discount available for prompt cash payment at this facility.

Insurance Median

$207

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: $82 (136%)

Insurance Median: $207 (343%)

Cash: $82 (136% of Medicare)

Ins. Median: $207 (343% 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 343% of the Medicare baseline (a markup of 243%). 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
Medicare (plans)	$62 - $69	103%
Workers Comp [1172]	$125	207%
Commercial [2001]	$129 - $323	214%
Managed Care [2000]	$129 - $307	214%
Aetna	$132 - $223	219%
Mdwise [1175]	$136	226%
Medicaid / KanCare	$136 - $164	226%
Managed Health Services [1302]	$141	234%
Blue Cross Blue Shield	$151 - $265	251%
UnitedHealthcare	$192 - $196	319%
United Medical Resources [1158]	$196	325%
United Medical Resources [1301]	$196	325%
Cigna	$206	342%
Great West Insurance [1055]	$210	348%
Humana	$225	373%
Unicare [1150]	$265	440%

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 $82.
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 Franciscan Health Mooresville 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.