CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Ochsner Lafayette General Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $21
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 0.35x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Ochsner Lafayette General Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.35x the Medicare baseline. Located in 1214 Coolidge Avenue, Lafayette, LA.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $35 (58%)
Insurance Median: $21 (35%)
Cash: $35 (58% of Medicare)
Ins. Median: $21 (35% 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 $5 - $100 8%
Blue Cross Blue Shield $5 - $107 8%
Healthy Blue Dual Advantage (Hmo-D-Snp) $5 - $54 8%
Humana $5 - $54 8%
Medicare (plans) $5 - $54 8%
Ochsner Health Plan $5 - $54 8%
UnitedHealthcare $5 - $124 8%
Wellcare Of Louisiana $5 - $57 8%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $6 - $56 10%
Tricare $6 - $54 10%
Amerihealth Caritas Louisiana (Healthy Louisiana) $8 - $21 13%
Healthy Blue (Healthy Louisiana) $8 - $21 13%
Louisiana Healthcare Connections (Healthy Louisiana) $8 - $21 13%
Cigna $12 - $131 20%
Verity Commercial And First Choice Network $59 - $91 98%
Zelis $101 168%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1214 Coolidge Avenue, Lafayette, LA 70503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals