CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Merit Health Women's Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $87
  • Cash Discount Price: $379
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Merit Health Women's Hospital is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $379. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.44x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$379

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: $379 (629%)
Insurance Median: $87 (144%)
Cash: $379 (629% 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.

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
Medicaid / KanCare $45 - $257 75%
UnitedHealthcare $45 - $480 75%
Caresource Truecare $46 76%
Magnolia Mcd Ms Chip $46 76%
Molina Chip $49 81%
Tricare $51 85%
Humana $52 86%
Medicare (plans) $52 86%
Node Shared Health Of Ms Mcr Adv $52 86%
Node Vantage Health Mcr Adv $52 86%
Node Windsor Mcr Adv $52 86%
Node Champva $53 88%
Node Devoted Health Mcr Adv $53 88%
Node First Choice American Health Of Ms Mcr Adv $53 88%
Node Molina Mcr Adv $53 88%
Node Va $53 88%
Aetna $54 - $1,178 90%
Node First Choice Wellcare Mcr Adv $54 90%
Node Healthy Mississippi Mcr Adv $59 98%
Veterans Eval Services $59 98%
Node Us Dept Of Labor $67 111%
First Choice Preferred $80 133%
Occunet $80 133%
Ms Work Comp $81 134%
Advanced Health Systems $87 144%
Molina Exchange $87 144%
Node First Choice Seven Corners $91 151%
Magnolia Exchange $93 154%
First Choice Lgp $116 192%
Vantage Health $120 199%
Blue Cross Blue Shield $138 229%
Cigna $367 609%
Self Pay $370 614%
Trimed Billing Solutions $505 838%
State Hospital $640 1062%
First Choice Mpcn $757 1256%
First Choice Standard $774 1284%
Coventry First Health $875 1452%
First Choice Ppo Plus $926 1536%
Benefit Management Systems $1,212 - $1,431 2011%
First Choice Stratose $1,346 2233%
Health Choice Of Mississippi $1,346 2233%
Prime Health Services $1,346 2233%
Mississippi Department Of Rehabilitation Services $1,683 2792%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals