CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $55
Cash Discount Price: $36
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Ochsner Medical Center - Baton Rouge is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.91x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$36

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: $36 (60%)

Insurance Median: $55 (91%)

Cash: $36 (60% 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
Humana	$22 - $55	37%
UnitedHealthcare	$22 - $267	37%
Aetna	$23 - $28	38%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$23	38%
Healthy Blue (Healthy Louisiana)	$23	38%
Louisiana Healthcare Connections (Healthy Louisiana)	$23	38%
Zelis	$25	41%
Medicaid / KanCare	$45	75%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$55	91%
Blue Cross Blue Shield	$55 - $91	91%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$55	91%
Medicare (plans)	$55	91%
Ochsner Health Plan	$55	91%
Tricare	$55	91%
Claritev D/B/A Multiplan/Phcs/American Life Care	$68	113%
Healthcomp & Personify Health (Formerly Gilsbar)	$68	113%
Louisiana Workers' Compensation Corporation (Lwcc)	$85	141%
Mississippi Physicians Care Network	$85	141%
First Health Network	$90	149%
Prime Health Services Ppo	$96	159%
Usa Managed Care Network	$96	159%
Cigna	$106	176%

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 $36.
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 Ochsner Medical Center - Baton Rouge 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.