CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Avoyelles Hospital
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $360
- Cash Discount Price: $120
- vs. Medicare Baseline: 5.97x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Avoyelles Hospital is $360. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 5.97x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$120
Average discount available for prompt cash payment at this facility.
Insurance Median
$360
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: $120 (199%)
Insurance Median: $360 (597%)
Cash: $120 (199% of Medicare)
Ins. Median: $360 (597% 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 597% of the Medicare baseline (a markup of 497%). 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.
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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 - $225 | 20% |
| Amer Contl Ins | $12 - $225 | 20% |
| Coventry | $12 - $225 | 20% |
| First Choice Health | $12 - $225 | 20% |
| Meritan Health | $12 - $400 | 20% |
| Cigna | $83 - $226 | 138% |
| Correct Cr Int Hlt | $83 | 138% |
| Mcd Amerihealth Caritas | $83 | 138% |
| Mcd Healthy Blue | $83 | 138% |
| Mcd La Hc Conn | $83 | 138% |
| Medicaid / KanCare | $83 | 138% |
| UnitedHealthcare | $83 | 138% |
| Blue Cross Blue Shield | $86 | 143% |
| Ofc Of Grp Bene | $86 | 143% |
| Mcd Ms | $92 | 153% |
| Student Assurances | $120 - $400 | 199% |
| Humana | $144 - $227 | 239% |
| Ppo Plus Llc | $240 | 398% |
| Zelis Healthcare Bpa | $240 | 398% |
| Gilsbar | $252 | 418% |
| Amerind | $360 | 597% |
| Applied Underwriters | $360 | 597% |
| Sedgwick | $360 | 597% |
| Us Dept Of Labor | $360 | 597% |
| Wc Clms Admin Svcs | $360 | 597% |
| Wc Clms Mgmnt Walmart | $360 | 597% |
| Wc Esis | $360 | 597% |
| Wc Fara | $360 | 597% |
| Wc Gallagher Bassett | $360 | 597% |
| Wc Guide One | $360 | 597% |
| Wc Hartford Med | $360 | 597% |
| Wc Luba | $360 | 597% |
| Wc Lwcc | $360 | 597% |
| Wc Paragon Casino Resort | $360 | 597% |
| Wc Risk Mgmnt | $360 | 597% |
| Wc Stone Trust | $360 | 597% |
| Wc Summit Consulting Hold | $360 | 597% |
| Wc Travelers Ins | $360 | 597% |
| Wc Trs Workers Comp Claim | $360 | 597% |
| Wc Us Dol | $360 | 597% |
| Wc Zurich | $360 | 597% |
| Aarp | $400 | 664% |
| Admin Concepts | $400 | 664% |
| All Saints Hospice | $400 | 664% |
| All State | $400 | 664% |
| Allegiance Health Hospice | $400 | 664% |
| Allied Natl | $400 | 664% |
| Amfirst | $400 | 664% |
| Avoy Parish School Board | $400 | 664% |
| Avoyelles Parish Sheriff | $400 | 664% |
| Bollinger | $400 | 664% |
| Ccmsi | $400 | 664% |
| Central States | $400 | 664% |
| Christus Health Plan | $400 | 664% |
| Compassionate Care Hospic | $400 | 664% |
| Core Source | $400 | 664% |
| Coushatta Hlth Dept | $400 | 664% |
| Ebms | $400 | 664% |
| Federated Ins | $400 | 664% |
| Feedom Life | $400 | 664% |
| Fidelity Standard Life Co | $400 | 664% |
| Fox Everette | $400 | 664% |
| Guarantee Trust | $400 | 664% |
| Heart Of Hospice | $400 | 664% |
| Hos Christus Hospice | $400 | 664% |
| Hos Guardian Hospice Care | $400 | 664% |
| Hos Harbor Hospice Alex | $400 | 664% |
| Hos La Hospice Palliative | $400 | 664% |
| Hos Passages Hospice N. | $400 | 664% |
| Hos St Joseph Hospice | $400 | 664% |
| Hospice Miscellaneous | $400 | 664% |
| Ins Mgmnt Admin | $400 | 664% |
| Ins Tpa | $400 | 664% |
| Liberty Health Share | $400 | 664% |
| Lumico | $400 | 664% |
| Manhattan Life Ins | $400 | 664% |
| Medi Share | $400 | 664% |
| Misc Comm | $400 | 664% |
| Nalc | $400 | 664% |
| New Era Life | $400 | 664% |
| North American | $400 | 664% |
| Phcs | $400 | 664% |
| Physicians Mutual | $400 | 664% |
| Pipeline Ind Bene | $400 | 664% |
| Progressive Auto | $400 | 664% |
| Reliance Standard Life | $400 | 664% |
| Rural Carriers | $400 | 664% |
| Shelter Ins Co | $400 | 664% |
| Sierre Health And Life | $400 | 664% |
| State Farm | $400 | 664% |
| State Mutual | $400 | 664% |
| Sterling Investors | $400 | 664% |
| The Health Plan | $400 | 664% |
| Tribal Hlth Partners | $400 | 664% |
| Tricare | $400 | 664% |
| Trustmark Health Benefits | $400 | 664% |
| Tunica Biloxi | $400 | 664% |
| Uct | $400 | 664% |
| Unified Life | $400 | 664% |
| Usaa Life Ins | $400 | 664% |
| Web-Tpa | $400 | 664% |
| Woodmen Of The World | $400 | 664% |