CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: T J Samson Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $89
Cash Discount Price: $103
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at T J Samson Community Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.48x the Medicare baseline. Located in 1301 North Race Street, Glasgow, KY.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $103 (171%)

Insurance Median: $89 (148%)

Cash: $103 (171% of Medicare)

Ins. Median: $89 (148% 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.

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
Aetna	$12	20%
Humana	$12 - $60	20%
Molina Mcaid	$13	22%
Wellcare Mcaid	$59	98%
Blue Cross Blue Shield	$60 - $173	100%
Wellcare Mcr Adv - All Other Plans	$60	100%
Molina Mcr Adv	$61	101%
Signature Health - All Plans	$61	101%
Devoted Mcr Adv - All Plans	$63	105%
UnitedHealthcare	$88 - $158	146%
Caresource - All Plans	$90	149%
Molina Marketplace - All Other Plans	$90	149%
Center Care Select - All Plans	$96 - $173	159%
Phcs/Multiplan - All Plans	$106 - $191	176%
First Health - All Plans	$107 - $193	178%

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 $103.
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 T J Samson Community 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.