CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Witham Health Services

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $64
Cash Discount Price: $213
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Witham Health Services is $64. 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 1.06x the Medicare baseline. Located in 2605 N Lebanon St, Lebanon, IN.

Cash / Self-Pay

$213

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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: $64 (106%)

Cash: $213 (353% of Medicare)

Ins. Median: $64 (106% 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
Aetna	$6 - $339	10%
Blue Cross Blue Shield	$6 - $458	10%
Caresource Mcr Adv	$6 - $64	10%
Mdwise Health In-All Plans	$6 - $62	10%
UnitedHealthcare	$6 - $357	10%
Beech Street-All Plans	$9 - $430	15%
Caresource Indiana Marketplace-All Other Plans	$9 - $119	15%
Sagamore-All Plans	$9 - $421	15%
Mhs Comml Exch-All Plans	$16 - $1,144	27%
Encore-All Plans	$48 - $435	80%
Phcs/Multiplan-All Plans	$138 - $417	229%
Humana	$141 - $426	234%

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 Witham Health Services 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.