CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Mercy Hospital Oklahoma City, Inc
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $186
- Cash Discount Price: $246
- vs. Medicare Baseline: 3.09x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mercy Hospital Oklahoma City, Inc is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $246. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.09x the Medicare baseline. Located in 4300 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$246
Average discount available for prompt cash payment at this facility.
Insurance Median
$186
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: $246 (408%)
Insurance Median: $186 (309%)
Cash: $246 (408% of Medicare)
Ins. Median: $186 (309% 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 309% of the Medicare baseline (a markup of 209%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Aetna | $5 - $274 | 8% |
| Humana | $5 - $262 | 8% |
| Medicaid / KanCare | $5 - $76 | 8% |
| Tricare | $53 - $55 | 88% |
| Blue Cross Blue Shield | $55 - $59 | 91% |
| Champva [20065] | $55 | 91% |
| Cherokee Nation Health Serv Contracted [320066] | $55 | 91% |
| Cross Timbers Hospice [20098] | $55 | 91% |
| Dept Of Veteran Affairs Contracted [320106] | $55 | 91% |
| Elara Caring Aspire Hospice Contracted [320433] | $55 | 91% |
| Elara Caring Aspire Hospice [20433] | $55 | 91% |
| Halo Hcr Inc Hospice Contracted [320432] | $55 | 91% |
| Halo Hcr Inc Hospice [20432] | $55 | 91% |
| Indian Health Service Contracted [320198] | $55 | 91% |
| Kindful Hospice Contracted [320434] | $55 | 91% |
| Kindful Hospice [20434] | $55 | 91% |
| Longevity Health Plan [10477] | $55 | 91% |
| Medicare (plans) | $55 - $59 | 91% |
| Mercy Hospice Okc [20252] | $55 | 91% |
| Mercy Rehab Hospital Contracted [320260] | $55 | 91% |
| Provider Partners Health Plans Contracted [320450] | $55 | 91% |
| Qual Choice Contracted [320325] | $55 | 91% |
| UnitedHealthcare | $55 - $117 | 91% |
| Cigna | $57 - $227 | 95% |
| Globalhealth Contracted [320145] | $57 | 95% |
| Amg Spec Hosp Edmond [20034] | $59 | 98% |
| Ambetter / Centene | $76 | 126% |
| Home State Health Plan Contracted [320187] | $76 | 126% |
| Novasys Contracted [320285] | $76 | 126% |
| Community Care Contracted [320080] | $85 - $265 | 141% |
| Health Choice Contracted [320166] | $107 | 178% |
| United Medical Resources Contracted [320454] | $117 - $246 | 194% |
| Medica Contracted [320239] | $120 | 199% |
| Healthsmart Preferred Care Contracted [320184] | $125 - $246 | 207% |
| Kempton Contracted [320214] | $125 | 207% |
| Healthcare Highways Plus Contracted [320175] | $148 - $227 | 246% |
| Webtpa Contracted [320417] | $159 | 264% |
| Osma Health Contracted [320292] | $171 | 284% |
| Aither Health Contracted [320449] | $227 | 377% |
| Auxiant Contracted [320462] | $227 - $246 | 377% |
| Benefit Management Contracted [320052] | $227 - $246 | 377% |
| Ebms Contracted [320493] | $227 | 377% |
| Healthlink Contracted [320179] | $227 - $246 | 377% |
| Imagine 360 Contracted [320494] | $227 | 377% |
| Mercy Benefit Admin Contracted [320251] | $227 - $246 | 377% |
| Quik Trip Contracted [320447] | $227 | 377% |
| Reflect Health Contracted [320492] | $227 | 377% |
| Show-Me Health Administrators Contracted [320483] | $227 | 377% |
| Workers Comp [20426] | $227 | 377% |
| Yuzu Health Contracted [320521] | $227 | 377% |
| First Health Contracted [320128] | $233 | 387% |
| Federal Medical Center Contracted [320127] | $246 | 408% |
| Healthscope Contracted [320182] | $246 | 408% |
| Healthsmart Accel Contracted [320183] | $246 | 408% |
| Point C Contracted [320238] | $246 | 408% |
| Preferred Health Plan Contracted [320522] | $246 | 408% |
| Private Health Care Systems Contracted [320320] | $246 - $265 | 408% |
| Tri State Healthcare Coalition Contracted [320379] | $246 | 408% |
| Multiplan Contracted [320270] | $265 - $341 | 440% |
| Globalhealth Contracted [320144] | $269 | 446% |
| Preferred Community Choice Contracted [320311] | $288 | 478% |
| Centralink Contracted [320480] | $379 | 629% |