CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Kosciusko Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $107
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Kosciusko Community Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.78x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $63 (105%)
Insurance Median: $107 (178%)
Cash: $63 (105% of Medicare)
Ins. Median: $107 (178% 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.

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
One Call Care Diagnostics Wc $6 10%
Amish Aid $8 - $111 13%
Self Pay $8 - $206 13%
Lutheran Preferred Network $12 - $422 20%
Php Freedom Network $14 - $204 23%
Physicians Health Plan $14 - $243 23%
UnitedHealthcare $14 - $278 23%
Aetna $15 - $281 25%
Encore $15 - $211 25%
Trma Inc $15 - $238 25%
Connecticut General Life Insurance Company $22 - $311 37%
Cigna $23 - $334 38%
First Health Network $28 - $396 46%
Prime Health Services $28 - $396 46%
Advantage Health $31 - $438 51%
Private Healthcare Systems $32 - $454 53%
Sagamore $33 - $496 55%
Encore Health Network $34 - $491 56%
Veterans Eval Services $37 - $59 61%
Tricare $59 98%
Department Of Veterans Affairs $62 103%
Blue Cross Blue Shield $66 - $256 110%
Humana $66 - $136 110%
Medicare (plans) $66 110%
Mhs $66 - $136 110%
Iu Health $67 111%
Node Devoted Health Mcr Adv $67 111%
Node Non Par Hospice Agree $67 111%
Node Va $67 111%
In Dept Of Correction $70 116%
Node Pphp Mcr Adv $70 116%
Us Department Of Labor $84 139%
Lutheran Advanced Network $100 166%
Lutheran Preferred $100 - $134 166%
Caresource $105 - $136 174%
Align In Work Comp $107 178%
One Call Work Comp $107 178%
Encore Work Comp In $120 199%
Managed Health Services Exchange $134 222%
Workers Comp $134 222%
Managed Health Services $136 226%
Medicaid / KanCare $136 226%
Encore Kba Epo $160 265%
Encore Kba Ppo $201 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals