CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Northern Louisiana Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $275
  • Cash Discount Price: $212
  • vs. Medicare Baseline: 4.56x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Northern Louisiana Medical Center is $275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.56x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$212

Average discount available for prompt cash payment at this facility.

Insurance Median
$275

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: $212 (352%)
Insurance Median: $275 (456%)
Cash: $212 (352% of Medicare)
Ins. Median: $275 (456% 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 456% of the Medicare baseline (a markup of 356%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $14 - $297 23%
UnitedHealthcare $21 - $297 35%
Blue Cross Blue Shield $39 - $111 65%
Medicaid / KanCare $39 - $495 65%
Humana $43 - $78 71%
Golden Rule Ins $103 - $297 171%
Verity Healthnet $134 - $243 222%
Cigna $137 - $248 227%
Kaiser Permanente $137 - $248 227%
Gilsbar $151 - $272 251%
Self Pay $151 - $272 251%
Geha $220 - $470 365%
First Health $233 - $421 387%
Multiplan $233 - $421 387%
Phcs $233 - $421 387%
Work Comp City Of Ruston $247 - $446 410%
Work Comp First Health $247 - $446 410%
Work Comp Nlmc Emp $247 - $446 410%
Workers Compensation $247 - $446 410%
Aarp $274 - $495 455%
Aflc American Family Life $274 - $495 455%
American Life Accident $274 - $495 455%
Apwu Health Plan $274 - $495 455%
Bankers Life And Casualty $274 - $495 455%
Benefit Trust Life $274 - $495 455%
Crime Victims Compensatio $274 - $495 455%
Equitable $274 - $495 455%
Fox Everett Inc $274 - $495 455%
Gmp Employers Retiree Tru $274 - $495 455%
Gsu Athletics $274 - $495 455%
Guarantee Trust Life Ins $274 - $495 455%
Healthfirst Tpa $274 - $495 455%
Hospice Of Caring Hearts $274 - $495 455%
Ima Insurance $274 - $495 455%
Industrial Accounts $274 - $495 455%
Liberty Healthshare $274 - $495 455%
Liberty Mutual Group $274 - $495 455%
Lifecare Specialty Hosp $274 - $495 455%
Lin Parish Detention $274 - $495 455%
Lincoln Kidney Center $274 - $495 455%
Ltu Athletics $274 - $495 455%
Ltu Student Ins Bollinger $274 - $495 455%
Mcr American Hlth Adv $274 - $495 455%
Misc Commercial $274 - $495 455%
Mva Insurance Payors $274 - $495 455%
Nalc Health Benefit Plan $274 - $495 455%
Nalc Natl Assoc Ltr Carri $274 - $495 455%
Newera $274 - $495 455%
Nlmc Community Services $274 - $495 455%
Physicians Mutual Ins $274 - $495 455%
Premier Hospice $274 - $495 455%
Principal Mutual Life Ins $274 - $495 455%
Protective Life Ins $274 - $495 455%
Ruston Regional Specialty $274 - $495 455%
Specialty Hosp Of Winnfie $274 - $495 455%
State Farm Insurance $274 - $495 455%
State Mutual Ins $274 - $495 455%
Sterling Investors Life $274 - $495 455%
The Hartford $274 - $495 455%
Union Bankers Insurance C $274 - $495 455%
Union Fidelity Life Ins $274 - $495 455%
United American $274 - $495 455%
United Teachers Ins $274 - $495 455%
Us Dept Of Labor $274 - $495 455%
Washington National Ins $274 - $495 455%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals