CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $63
Cash Discount Price: $93
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Surgical Specialty Center of Baton Rouge is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$93

Average discount available for prompt cash payment at this facility.

Insurance Median

$63

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: $93 (154%)

Insurance Median: $63 (105%)

Cash: $93 (154% of Medicare)

Ins. Median: $63 (105% 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
Verity	$8	13%
Aetna	$19 - $55	32%
Amerihealth	$19	32%
Healthy_Blue	$19	32%
Humana	$19 - $81	32%
Lhc	$19	32%
Medicaid / KanCare	$19	32%
United_Caid	$19	32%
Ehn	$23	38%
Lsufirst	$36	60%
Cigna	$52	86%
Blue Cross Blue Shield	$53 - $68	88%
Medadv-Peoples	$53	88%
Medicare (plans)	$53	88%
Tricare	$53	88%
UnitedHealthcare	$53	88%
Va	$54	90%
Wellcare	$56	93%
Gilsbar	$61	101%
Multiplan-Pos	$74	123%
Multiplan-Ppo	$74	123%
Lucent	$75	124%
Ppoplus	$76	126%
Stjude	$81	134%
Bayou-Med	$87	144%
Dma	$87	144%
Lsu	$87	144%
Southern-Univ	$87	144%
Womans_Hosp	$87	144%
Reny	$93	154%
Workcomp_3R	$100	166%
Three_Rivers	$105	174%
Workcomp_Strat	$105	174%
Geha	$109	181%
Ambetter / Centene	$112	186%
Workcomp_Fp	$112	186%
Usa_Mco	$117	194%
Workcomp_Saints	$123	204%
Uhc_Commcoffee	$124	206%
United	$124	206%

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 $93.
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 Surgical Specialty Center of 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.