CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Mercy Hospital Tishomingo Inc
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $116
- Cash Discount Price: $126
- vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Mercy Hospital Tishomingo Inc is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.92x the Medicare baseline. Located in 1000 South Byrd St, Tishomingo, OK.
Cash / Self-Pay
$126
Average discount available for prompt cash payment at this facility.
Insurance Median
$116
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: $126 (209%)
Insurance Median: $116 (192%)
Cash: $126 (209% of Medicare)
Ins. Median: $116 (192% 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.
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 - $129 | 8% |
| Humana | $5 - $155 | 8% |
| Medicaid / KanCare | $5 - $58 | 8% |
| Ambetter / Centene | $58 | 96% |
| Home State Health Plan Contracted [320187] | $58 | 96% |
| Novasys Contracted [320285] | $58 | 96% |
| Blue Cross Blue Shield | $62 - $93 | 103% |
| Webtpa Contracted [320417] | $81 | 134% |
| Medicare (plans) | $89 - $124 | 148% |
| Cherokee Nation Health Serv Contracted [320066] | $93 | 154% |
| Cross Timbers Hospice [20098] | $93 | 154% |
| Dept Of Veteran Affairs Contracted [320106] | $93 | 154% |
| Elara Caring Aspire Hospice Contracted [320433] | $93 | 154% |
| Elara Caring Aspire Hospice [20433] | $93 | 154% |
| Halo Hcr Inc Hospice Contracted [320432] | $93 | 154% |
| Halo Hcr Inc Hospice [20432] | $93 | 154% |
| Independent Health [20197] | $93 | 154% |
| Indian Health Service Contracted [320198] | $93 | 154% |
| Kindful Hospice Contracted [320434] | $93 | 154% |
| Kindful Hospice [20434] | $93 | 154% |
| Medical Associates Health [20444] | $93 | 154% |
| Mercy Hospice Okc [20252] | $93 | 154% |
| Provider Partners Health Plans Contracted [320450] | $93 | 154% |
| Qual Choice Contracted [320325] | $93 | 154% |
| Tribute Health Plan Mcr Contracted [320338] | $93 | 154% |
| Tricare | $93 | 154% |
| UnitedHealthcare | $93 - $153 | 154% |
| Globalhealth Contracted [320145] | $95 | 158% |
| Cigna | $96 - $146 | 159% |
| Aither Health Contracted [320449] | $116 - $165 | 192% |
| Mercy Benefit Admin Contracted [320251] | $116 - $165 | 192% |
| Quik Trip Contracted [320447] | $116 | 192% |
| Show-Me Health Administrators Contracted [320483] | $116 | 192% |
| Health Choice Contracted [320166] | $119 | 197% |
| Medica Contracted [320239] | $124 | 206% |
| First Health Contracted [320128] | $129 | 214% |
| Osma Health Contracted [320292] | $136 | 226% |
| Benefit Management Contracted [320052] | $146 - $175 | 242% |
| Healthcare Highways Plus Contracted [320175] | $146 | 242% |
| Private Health Care Systems Contracted [320320] | $146 - $155 | 242% |
| United Medical Resources Contracted [320454] | $153 | 254% |
| Multiplan Contracted [320270] | $155 - $175 | 257% |
| Auxiant Contracted [320462] | $165 | 274% |
| Ebms Contracted [320493] | $165 | 274% |
| Healthlink Contracted [320179] | $165 | 274% |
| Imagine 360 Contracted [320494] | $165 | 274% |
| Preferred Community Choice Contracted [320311] | $165 | 274% |
| Reflect Health Contracted [320492] | $165 | 274% |
| Yuzu Health Contracted [320521] | $165 | 274% |