CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: St Charles Parish Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $55
Cash Discount Price: $32
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at St Charles Parish Hospital is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.91x the Medicare baseline. Located in 1057 Paul Maillard Road, Luling, LA.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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: $32 (53%)

Insurance Median: $55 (91%)

Cash: $32 (53% of Medicare)

Ins. Median: $55 (91% 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
Tricare	$21 - $52	35%
Medicaid / KanCare	$45	75%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$54	90%
Healthy Blue (Healthy Louisiana)	$54	90%
Humana	$54 - $55	90%
Louisiana Healthcare Connections (Healthy Louisiana)	$54	90%
UnitedHealthcare	$54 - $130	90%
Aetna	$55 - $103	91%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$55	91%
Blue Cross Blue Shield	$55 - $61	91%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$55	91%
Medicare (plans)	$55	91%
Ochsner Health Plan	$55	91%
Zelis	$71	118%
Cigna	$74	123%
Galaxy Health Network Ppo	$88	146%
Galaxy Health Network Wc	$88	146%
Louisiana Workers' Compensation Corporation (Lwcc)	$88	146%
Healthcomp & Personify Health (Formerly Gilsbar)	$91	151%
Claritev D/B/A Multiplan/Phcs/American Life Care	$94	156%
First Health Network	$100	166%

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 $32.
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 St Charles Parish 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.