CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $83
Cash Discount Price: $52
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Oklahoma Heart Hospital South, LLC is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.38x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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: $52 (86%)

Insurance Median: $83 (138%)

Cash: $52 (86% of Medicare)

Ins. Median: $83 (138% 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	$5 - $103	8%
Humana	$5 - $103	8%
Healthcare Highways	$33 - $90	55%
Blue Cross Blue Shield	$36 - $84	60%
Community Care	$54 - $167	90%
Cigna	$57 - $105	95%
Medicare (plans)	$57 - $86	95%
UnitedHealthcare	$57 - $89	95%
Va Ccn	$57 - $84	95%
Geha	$60 - $89	100%
Healthscope	$60 - $69	100%
Oscar Insurance Company	$60 - $69	100%
Webtpa Chickasaw Nation Hch	$62 - $70	103%
Webtpa Hobby Lobby Hch	$70 - $79	116%
Coventry	$78 - $88	129%
Ambetter / Centene	$79 - $117	131%
Global Health	$83 - $94	138%
Sana Benefits	$85 - $97	141%
Ufcw	$85 - $97	141%
First Health Network	$91 - $103	151%
Manhattan Life	$91 - $103	151%
Phcs	$92 - $105	153%
Preferred Community Choice	$100 - $114	166%
Multiplan	$118 - $135	196%
The Kempton Group	$142 - $209	236%

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 $52.
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 Oklahoma Heart Hospital South, LLC 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.