CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Bayou Bend Health System

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $87
Cash Discount Price: $77
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Bayou Bend Health System is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.44x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

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: $77 (128%)

Insurance Median: $87 (144%)

Cash: $77 (128% of Medicare)

Ins. Median: $87 (144% 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
Tricare	$16 - $83	27%
UnitedHealthcare	$17 - $187	28%
Aetna	$18 - $126	30%
Blue Cross Blue Shield	$18 - $130	30%
Dignity Mcr Adv Ip/Op Only-All Plans	$18 - $92	30%
Humana	$18 - $120	30%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$18 - $92	30%
Verity Healthnet Mcr Adv Ip/Op Only	$18 - $92	30%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$18 - $92	30%
Ambetter / Centene	$21 - $106	35%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$25 - $130	41%
La Health Mcaid Ip/Op Only	$25 - $130	41%
Verity Healthnet Mcaid Ip/Op Only	$25 - $130	41%
Diocese Of Lafaytte Ip/Op Only-All Plans	$27 - $139	45%
Gilsbar 360 Ip/Op Only-All Plans	$27 - $139	45%
Verity Healthnet Ip/Op Only-All Other Plans	$27 - $139	45%
Ccn/First Health Ip/Op Only-All Plans	$29 - $148	48%
Integrated Hp Multiplan Ip/Op Only-All Plans	$29 - $148	48%
Ppo Plus / Zelis Ip/Op Only-All Plans	$29 - $148	48%
Geha Ppo Ip/Op Only-All Plans	$31 - $157	51%
Usa Mco Ip/Op Only-All Plans	$31 - $157	51%
Galaxy Ip/Op Only-All Plans	$32 - $166	53%
Cigna	$130	216%

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 $77.
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 Bayou Bend Health System 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.