CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: The Women's Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $22
  • Cash Discount Price: $215
  • vs. Medicare Baseline: 0.37x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at The Women's Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $215. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.37x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$215

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $215 (357%)
Insurance Median: $22 (37%)
Cash: $215 (357% of Medicare)
Ins. Median: $22 (37% 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
Aetna $6 - $243 10%
Ambetter / Centene $6 - $85 10%
Blue Cross Blue Shield $6 - $200 10%
Caresource $6 - $55 10%
Caresource Hip $6 10%
Caresource In $6 10%
Humana $6 - $84 10%
Iu Health $6 - $182 10%
Mdwise Hip $6 10%
Meridian Health Il $6 - $55 10%
Mhs $6 - $55 10%
Mhs Behavioral $6 10%
Molina Il $6 - $55 10%
Molina Ky $6 - $55 10%
Molina Ky Dual $6 - $55 10%
UnitedHealthcare $6 - $292 10%
Wellcare Ky $6 - $84 10%
Caresource Marketplace (Just4Me) $7 - $82 12%
Encorecombined $7 - $255 12%
Encoreprime $7 - $248 12%
Hst $7 - $82 12%
Immergrun $7 - $152 12%
Patoka Valley Health Care (80/20 Plan) $7 - $226 12%
Patoka Valley Health Care (90/10 Plan) $7 - $219 12%
Alliance Coal $8 - $253 13%
Allied National/Zelis - Freedom Plan $8 - $134 13%
Chamber Care $8 - $255 13%
Claimdoc $8 - $79 13%
One Care $8 - $255 13%
Hope Trust $9 - $90 15%
Noncontracted $9 - $87 15%
Passport Molina Ky $12 - $84 20%
Amish $17 - $22 28%
Self Pay $17 - $215 28%
Cigna $19 - $263 32%
Claritev (Formerly Phcs/Mulitplan) $19 - $252 32%
First Health/Coventry $19 - $270 32%
Healthlink $19 - $310 32%
Sagamore $19 - $263 32%
Center Care $29 - $284 48%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals