CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Gibson General Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $66
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Gibson General Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.10x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

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: $109 (181%)
Insurance Median: $66 (110%)
Cash: $109 (181% of Medicare)
Ins. Median: $66 (110% 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 - $160 10%
Blue Cross Blue Shield $6 - $352 10%
Caresource $6 10%
Caresource Just For Me $6 - $66 10%
Mdwise Plans $6 10%
Medicaid / KanCare $6 10%
Medicare (plans) $6 - $66 10%
Meridiancare (Il) $6 - $66 10%
Meridiancomplete (Il) $6 - $66 10%
Meridianhealth (Il) $6 10%
Mhs $6 10%
Mytruadvantage $6 - $66 10%
UnitedHealthcare $6 - $144 10%
Va Ccn $6 - $66 10%
Ambetter / Centene $7 - $66 12%
Caresource In Marketplace $7 - $114 12%
Encircle/Encore Combined $7 - $174 12%
Encircle/Encore Prime $7 - $154 12%
Alliance Coal $8 - $51 13%
Claimdoc $8 - $174 13%
Deaconess Onecare $8 - $170 13%
Hopetrust $8 - $174 13%
Hstechnology $8 - $174 13%
Noncontracted $9 - $105 15%
Ky Racing Health & Welfare Fund $17 - $111 28%
Self-Pay $17 - $109 28%
Cigna $19 - $180 32%
First Health $19 - $184 32%
Healthlink Hmo $19 - $184 32%
Healthlink Ppo $19 - $184 32%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $19 - $180 32%
Chambercare $29 - $164 48%
Gibson County Sheriff $42 - $174 70%
Integrated Health $44 - $184 73%
Principal Health Care $44 - $184 73%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1808 Sherman Drive, Princeton, IN 47670
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals