CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: North Oaks Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $54
Cash Discount Price: $122
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at North Oaks Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.90x the Medicare baseline. Located in 15790 Paul Vega Md Drive, Hammond, LA.

Cash / Self-Pay

$122

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $122 (202%)

Insurance Median: $54 (90%)

Cash: $122 (202% of Medicare)

Ins. Median: $54 (90% 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
Mco Lhc	$28	46%
Aetna	$29 - $343	48%
Humana	$29 - $303	48%
Mco Hb	$29	48%
Mco Lacare Am	$29	48%
Medicaid / KanCare	$29	48%
UnitedHealthcare	$29 - $194	48%
Tricare	$45 - $54	75%
Allwell	$54	90%
Blue Advantage	$54	90%
Champva	$54	90%
Healthy Blue Dual Advantage	$54	90%
Peoples Health	$54	90%
Vantage 65	$54	90%
Veterans Administration	$54	90%
Wellcare	$54	90%
Blue Cross Blue Shield	$121 - $122	201%
Coventry	$263	436%
Verity Healthnet	$263	436%
Ppoplus Llc	$283	470%
Multiplan	$303	503%
Cigna	$319	529%

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 $122.
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 North Oaks Medical Center 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.