CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Oakdale Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $150
Cash Discount Price: $52
vs. Medicare Baseline: 2.49x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Oakdale Community Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.49x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $52 (86%)

Insurance Median: $150 (249%)

Cash: $52 (86% of Medicare)

Ins. Median: $150 (249% 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 249% of the Medicare baseline (a markup of 149%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$11 - $145	18%
Meritain	$11 - $145	18%
Amfirst	$52	86%
Self Pay	$52	86%
Medicaid / KanCare	$57	95%
UnitedHealthcare	$57	95%
Humana	$63 - $163	105%
Blue Cross Blue Shield	$90	149%
Web-Tpa	$129	214%
Cigna	$141 - $146	234%
Ima	$155 - $258	257%
Ppo Plus	$155	257%
Wc Gulf South Risk Srvcs	$232	385%
Wc Martco	$232	385%
Wc Misc	$232	385%
Wc Risk Mgmnt-Baton Rouge	$232	385%
Wc Sedwick Workmans Comp	$232	385%
Wc Us Department Of Labor	$232	385%
American Public Life	$258	428%
American Retirement Life	$258	428%
Apwu	$258	428%
Auto Liability	$258	428%
Bankers Life	$258	428%
Correct Care	$258	428%
Fox Everitt	$258	428%
Mailhandlers Benefit Plan	$258	428%
Medishare	$258	428%
Medplus	$258	428%
Misc Commerical	$258	428%
Phcs	$258	428%
Physicians Mutual	$258	428%
State Farm-La	$258	428%
Triwest	$258	428%
Us Family Health Plan	$258	428%
Usaa	$258	428%

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 $52.
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 Oakdale Community 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.