CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Perry County Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $190
Cash Discount Price: $215
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Perry County Memorial Hospital is $190. 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 3.15x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$215

Average discount available for prompt cash payment at this facility.

Insurance Median

$190

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: $190 (315%)

Cash: $215 (357% of Medicare)

Ins. Median: $190 (315% 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 315% of the Medicare baseline (a markup of 215%). 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
Medicaid / KanCare	$71 - $307	118%
Veterans Administration	$77 - $307	128%
Bc 130	$80 - $245	133%
Group Insurance	$80 - $307	133%
Medicare (plans)	$80	133%
Workers Compensation	$154	256%
Nsa	$180 - $190	299%
Guarantor Liable	$215 - $307	357%
Pcmh Insurnace	$239 - $307	397%
Secondary Insurance	$245	407%
UnitedHealthcare	$245	407%
Operating Engineers	$261	433%
Boilermakers Healthcare	$267	443%
Cigna	$267	443%
Great West	$267 - $307	443%
Sagxxxx	$267	443%
Champus	$307	509%
Ngs American, Inc	$307	509%
Patoka Valley	$307	509%
Southwire	$307	509%
Tricare	$307	509%
Wausau Benefits	$307	509%

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 $215.
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 Perry County Memorial Hospital 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.