CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: West Carroll Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $72
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at West Carroll Memorial Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.19x the Medicare baseline. Located in 706 Ross Street, Oak Grove, LA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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%)

Insurance Median: $72 (119%)

Ins. Median: $72 (119% 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
Auxiant	$9	15%
Blue Cross Blue Shield	$9	15%
Fep	$9	15%
Fep Postal	$9	15%
Hmo Of Louisiana	$9	15%
Boon Chapman-Icl 1136	$11	18%
Allegiance Benefit Plan Management, Inc.	$12	20%
Cigna	$12	20%
UnitedHealthcare	$12 - $264	20%
Medicaid / KanCare	$17 - $157	28%
Aetna	$53 - $157	88%
Mutual Of Omaha Companies Claims Department	$53	88%
Omaha Insurance Company	$53	88%
United Of Omaha Life Insurance Company	$53	88%
Personify Health North	$72	119%
Blue Advantage	$82	136%
Tricare	$82	136%
Wellcare By Allwell	$83	138%
Medicare (plans)	$95	158%
Amerihealth Caritas Louisiana	$127	211%
Healthy Blue	$133	221%
Humana	$157	260%
Louisiana Healthcare Connections	$157	260%
Insurance Systems Inc	$224	372%
Novitas Solutions	$264	438%
Physicians Mutual Insurance Company	$264	438%
Woodmenlife Claims Department	$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 $X.
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 West Carroll Memorial 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.