CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Norton Scott Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $278
Cash Discount Price: $86
vs. Medicare Baseline: 4.61x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Norton Scott Hospital is $278. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.61x the Medicare baseline. Located in 1451 N Gardner St, Scottsburg, IN.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$278

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: $86 (143%)

Insurance Median: $278 (461%)

Cash: $86 (143% of Medicare)

Ins. Median: $278 (461% 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 461% of the Medicare baseline (a markup of 361%). 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
UnitedHealthcare	$59 - $294	98%
Molina Healthcare	$61 - $63	101%
Blue Cross Blue Shield	$81 - $290	134%
Managed Health Services (Mhs)	$89 - $119	148%
Managed Health Services (Mhs) Healthy Indiana Plan (Hip)	$89 - $119	148%
Mdwise Healthy Indiana Plan (Hip)	$89 - $119	148%
Communicare Advantage	$91 - $122	151%
Caresource Indiana Just4Me	$133 - $178	221%
Aetna	$233 - $311	387%
Multiplan	$296 - $420	491%
Cigna	$314 - $420	521%
Encore Health Network	$314 - $420	521%
Prime Health	$314 - $420	521%
Ppom	$326 - $435	541%
Intercommunity Health Network (Ihn)	$333 - $445	553%

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 $86.
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 Norton Scott 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.