CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Holmes County Hospital and Clinics

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $109
Cash Discount Price: $58
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Holmes County Hospital and Clinics is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.81x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.

Cash / Self-Pay

$58

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $58 (96%)

Insurance Median: $109 (181%)

Cash: $58 (96% of Medicare)

Ins. Median: $109 (181% 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
Ms-Can-Magnolia-Lex	$47	78%
Ms-Can-Molina-Lex	$47	78%
Ms-Can-Truecare-Lex	$48	80%
Cigna	$84	139%
Tricare	$89	148%
Humana	$90	149%
Mpcn-Lex	$94	156%
Medadv_Uhc-Lex	$99	164%
Molina-Chip-Lex	$100	166%
Firstchoice-Lex	$102	169%
Magnolia-Chip-Lex	$102	169%
Truecare-Chip-Lex	$102	169%
United-Lex	$108	179%
Ambetter / Centene	$109	181%
Medadv_Primewell-Lex	$109	181%
Medicare (plans)	$109	181%
Primewell-Lex	$109	181%
United-Options-Lex	$109	181%
Va_Ccn-Lex	$109	181%
Medadv_Uhcdsnp-Lex	$112	186%
Wellcare-Lex	$112	186%
Ppoplus	$113	187%
Devoted_Health-Lex	$114	189%
Firsthealth-Lex	$116	192%
Multiplan-Lex	$116	192%
Aetna	$123	204%
Phcs-Lex	$130	216%
Advhealth-Lex	$145	241%
Blue Cross Blue Shield	$145	241%
Molina_Exchange-Lex	$145	241%

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 $58.
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 Holmes County Hospital and Clinics 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.