CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Indiana Regional Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $93
  • Cash Discount Price: $130
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Indiana Regional Medical Center is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.54x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$130

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $130 (216%)
Insurance Median: $93 (154%)
Cash: $130 (216% of Medicare)
Ins. Median: $93 (154% 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
Highmark $5 - $169 8%
Aetna $6 - $188 10%
Cigna $6 - $155 10%
Highmark Wholecare $6 - $62 10%
Humana $6 - $61 10%
Medicare (plans) $6 - $62 10%
Tricare $6 - $607 10%
United Mine Workers Of America $6 - $62 10%
UnitedHealthcare $6 - $243 10%
Ambetter / Centene $7 - $64 12%
Amerihealth Caritas $7 - $64 12%
Geisinger Health Plan $7 - $64 12%
Upmc Health Plan $7 - $279 12%
Geisinger $9 - $172 15%
Pa Health And Wellness Commercial $9 - $172 15%
Department Of Human Services And Torrance State Hospital $147 - $382 244%
Premier Comp Solutions, Llc $210 - $546 348%
Miscellaneous Commercial $233 - $607 387%
Pa Workers Compensation $233 - $607 387%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals