CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Fostoria Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $174
Cash Discount Price: $218
vs. Medicare Baseline: 2.89x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Fostoria Community Hospital is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $218. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.89x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$218

Average discount available for prompt cash payment at this facility.

Insurance Median

$174

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: $218 (362%)

Insurance Median: $174 (289%)

Cash: $218 (362% of Medicare)

Ins. Median: $174 (289% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 289% of the Medicare baseline (a markup of 189%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$6 - $259	10%
Health Alliance Plan	$6 - $251	10%
Health Value Management	$6 - $73	10%
Paramount Health Care	$6 - $178	10%
Aetna	$7 - $224	12%
Buckeye Community Health Plan	$7 - $75	12%
Buckeye Community Health Plan Inc	$7 - $122	12%
Dayton Area Health Plan Dba Caresource	$10 - $139	17%
UnitedHealthcare	$13 - $200	22%
Meridian Health Plan Of Mi	$32	53%
Amerihealth	$36	60%
Veterans Affairs	$74	123%
Medical Mutual Of Ohio	$189 - $201	314%
Frontpath Health Coalition	$193	320%
Ohio Health Choice	$218	362%
Ohio Ppo Connect	$218 - $251	362%
Health Ohio Network	$265	440%
Connecticut General Life Insurance Company	$267	443%

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 $218.
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 Fostoria Community 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.