CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Christ Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $6
Cash Discount Price: $12
vs. Medicare Baseline: 0.10x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Christ Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.10x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$12

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $12 (20%)

Insurance Median: $6 (10%)

Cash: $12 (20% of Medicare)

Ins. Median: $6 (10% 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
Aetna	$6 - $184	10%
Allied Benefits [2163]	$6 - $55	10%
Ambetter / Centene	$6 - $55	10%
Amerihealth Caritas [2230]	$6 - $184	10%
Blue Cross Blue Shield	$6 - $184	10%
Buckeye Community Health [2028]	$6 - $184	10%
Buckeye Mycare Dual [2171]	$6 - $55	10%
Caresource [2031]	$6 - $184	10%
Cigna	$6 - $184	10%
Custom Design Benefits - True Cost [3004]	$6 - $55	10%
Devoted Health Plans Oon [2250]	$6	10%
Humana	$6 - $184	10%
Key Benefit Administrators [2221]	$6	10%
Medicaid / KanCare	$6 - $184	10%
Medical Mutual [2054]	$6 - $162	10%
Medicare (plans)	$6 - $55	10%
Medigold Ppo [2204]	$6 - $55	10%
Meritain Health [2224]	$6 - $55	10%
Multiplan/Phcs [2059]	$6 - $134	10%
Other Exchange Plan [9992]	$6 - $184	10%
Other [9990]	$6	10%
Priority Health [2225]	$6 - $98	10%
Skilled Nursing Facility [2159]	$6	10%
Suburban Health [2408]	$6 - $184	10%
Tricare	$6	10%
United Medical Resources [2104]	$6 - $302	10%
UnitedHealthcare	$6 - $302	10%
Wellcare Of Kentucky [2191]	$6 - $110	10%
Western And Southern [2076]	$6 - $162	10%
First Health [2041]	$55	91%
Medben [2222]	$55	91%
Meridian [2185]	$55	91%
Perennial [4200]	$55	91%
Poppins Health [2299]	$55	91%
Ohio Health Choice [2062]	$88	146%
Nalc [2178]	$98	163%
Kentucky Passport/Molina [2097]	$110	183%
Life Synch [2080]	$110	183%
Bccp [3079]	$184	305%
Healthcare Highways [2298]	$184	305%
Sagamore Health Network [2066]	$184	305%
Geha [2168]	$302	501%
Golden Rule [2161]	$302	501%

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 $12.
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 Christ 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.