CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Colleton Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $255
Cash Discount Price: $516
vs. Medicare Baseline: 4.23x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Colleton Medical Center is $255. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $516. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.23x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$516

Average discount available for prompt cash payment at this facility.

Insurance Median

$255

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: $516 (856%)

Insurance Median: $255 (423%)

Cash: $516 (856% of Medicare)

Ins. Median: $255 (423% 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 423% of the Medicare baseline (a markup of 323%). 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
Sc State Employees	$74 - $84	123%
Blue Choice Health Plan	$75 - $79	124%
Blue Cross Blue Shield	$75 - $509	124%
Absolute Total Care	$78 - $96	129%
Molina	$96	159%
Nhc Advantage	$102	169%
Pruitt Health	$102	169%
Select Health	$230	382%
Employers Health Network	$241	400%
United	$241 - $285	400%
Value Option	$268	445%
Vocational Rehab	$289	480%
Medcost	$302 - $391	501%
Cigna	$346	574%
Humana	$348 - $482	577%
Mhnet	$402	667%
Evernorth	$429	712%
Multiplan	$456	757%
North American Administrators	$456	757%
Prime Health	$456	757%
First Health	$482	800%
Novanet	$482	800%

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 $516.
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 Colleton Medical Center 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.