CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $41
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mary Hitchcock Memorial Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.68x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $96 (159%)
Insurance Median: $41 (68%)
Cash: $96 (159% of Medicare)
Ins. Median: $41 (68% 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
Harvard Pilgrim Health Care Of Ne $5 - $269 8%
Blue Cross Blue Shield $6 - $344 10%
Cigna $6 - $215 10%
Martin'S Point Generations Advantage $6 - $66 10%
Martin'S Point Health Care $6 - $108 10%
Mvp $6 - $210 10%
UnitedHealthcare $6 - $240 10%
Ambetter / Centene $7 - $143 12%
Wellcare Health Plans $7 - $69 12%
Wellsense Health Plan $7 - $70 12%
Amerihealth Caritas Nh $9 - $35 15%
Beacon Health Strategies/Carelon $9 - $38 15%
Granite State Health Plan $9 - $39 15%
Aetna $11 - $220 18%
Tufts Health Plan $23 - $183 38%
Mass General Brigham Health Plan $25 - $195 41%
Maine Community Health Options $199 - $230 330%
Coventry $272 451%
First Health/Hcvm $272 451%
Phcs $282 468%
Corvel $288 478%
Ccmsi $297 493%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals