CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Bienville Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $143
Cash Discount Price: $158
vs. Medicare Baseline: 2.37x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Bienville Medical Center is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.37x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $158 (262%)

Insurance Median: $143 (237%)

Cash: $158 (262% of Medicare)

Ins. Median: $143 (237% 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 237% of the Medicare baseline (a markup of 137%). 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	$15 - $264	25%
Medicaid / KanCare	$15 - $155	25%
Mmd Amerihealth Caritas	$15 - $155	25%
Mmd Healthy Blue	$15 - $155	25%
Mmd La Hlth Conn	$15 - $155	25%
Mmd Misc	$15 - $155	25%
UnitedHealthcare	$15 - $155	25%
Cashiering	$106 - $158	176%
Cigna	$132	219%
Ambetter / Centene	$143	237%
Humana	$143 - $170	237%
Mcr American Hlth Adv	$143	237%
Medicare (plans)	$143	237%
Misc Mgd Care	$143 - $264	237%
Mmc Blue Advantage	$143	237%
Mmc Misc	$143	237%
Peoples Health Mcr Adv	$143	237%
Va Health	$143	237%
Blue Cross Blue Shield	$159	264%
Wc City Of Arcadia	$238	395%
Wc House Of Raeford	$238	395%
Wc Misc	$238	395%
Wc Stonetrust	$238	395%
Aarp	$264	438%
Allegiance Health Managme	$264	438%
Amfirst	$264	438%
Apwu	$264	438%
Liberty Mutual	$264	438%
Misc Comm A-L	$264	438%
Misc Comm M-Z	$264	438%
Tricare	$264	438%

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 $158.
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 Bienville Medical Center 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.