CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $107
Cash Discount Price: $95
vs. Medicare Baseline: 1.78x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Ochsner Stennis Memorial Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.78x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$95

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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: $95 (158%)

Insurance Median: $107 (178%)

Cash: $95 (158% of Medicare)

Ins. Median: $107 (178% 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
Humana	$4 - $197	7%
Cigna	$5 - $197	8%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$5 - $197	8%
Medicaid / KanCare	$5 - $210	8%
Medicare (plans)	$5 - $226	8%
Shared Health Mississippi	$5 - $207	8%
UnitedHealthcare	$5 - $197	8%
Prime Health Services Ppo	$6 - $200	10%
Ambetter / Centene	$7 - $152	12%
Primewell Health Services Commercial Exchange Plan	$8 - $168	13%
Primewell Health Services – Commercial	$8 - $168	13%
Blue Cross Blue Shield	$10 - $153	17%
Aetna	$11	18%
Prime Health Services Ppo -Workers Comp	$13 - $75	22%
Cor Vel	$14 - $77	23%
Zelis	$23 - $188	38%
Claritev D/B/A Multiplan/Phcs/American Life Care	$25 - $188	41%
Select Administrative Services Network	$97 - $175	161%

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 $95.
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 Ochsner Stennis 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.