CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: S E Lackey Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $68
Cash Discount Price: $54
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at S E Lackey Memorial Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.13x the Medicare baseline. Located in 330 N Broad Street, Forest, MS.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$68

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: $54 (90%)

Insurance Median: $68 (113%)

Cash: $54 (90% of Medicare)

Ins. Median: $68 (113% 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
Magnolia Mcr Adv	$5 - $77	8%
UnitedHealthcare	$5 - $138	8%
Va Ccn - All Plans	$6 - $77	10%
Wellcare Mcr Adv - All Plans	$6 - $77	10%
Corvel - All Plans	$13 - $166	22%
Magnolia Comm/Exch - All Other Plans	$36 - $77	60%
Magnolia Mcaid	$44 - $45	73%
Cigna	$50 - $525	83%
Blue Cross Blue Shield	$64 - $138	106%
First/Health Choice - All Plans	$68 - $147	113%
Health Partners - All Plans	$71 - $153	118%
Aetna	$72 - $156	119%
Multiplan - All Plans	$76 - $166	126%

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 $54.
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 S E Lackey 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.