CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Fairfield Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $89
Cash Discount Price: $55
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Fairfield Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.48x the Medicare baseline. Located in 401 North Ewing Street, Lancaster, OH.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $55 (91%)

Insurance Median: $89 (148%)

Cash: $55 (91% of Medicare)

Ins. Median: $89 (148% 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
Blue Cross Blue Shield	$22 - $26,250	37%
Caresource	$22 - $7,907	37%
Medicaid / KanCare	$22	37%
Molina	$22 - $10,035	37%
UnitedHealthcare	$22 - $6,082	37%
Amerihealth Caritas Ohio	$23	38%
Buckeye Community Health	$23 - $9,427	38%
Humana	$23 - $5,961	38%
Medical Mutual	$52 - $33,500	86%
Aetna	$56 - $5,961	93%
Medicare (plans)	$56 - $5,961	93%
Medigold	$57 - $6,082	95%
The Health Plan	$57 - $6,080	95%
Va Ccn	$57 - $6,082	95%
Valor Health Plan	$57 - $6,080	95%
Bwc	$79 - $8,448	131%
Allied Benefit Systems	$81 - $89	134%
Meritain Health	$81 - $89	134%
Quality Care Partners/Ohio Ppo Connect	$84 - $92	139%
The Ohio State Health Plan	$89 - $99	148%
Cigna	$96 - $105	159%
Oscar	$105 - $6,130	174%
Ohio Healthy	$109 - $120	181%
Multiplan	$110 - $122	183%
Miscellaneous Plans	$116 - $128	192%

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 $55.
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 Fairfield Medical Center 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.