CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Tristar Skyline Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $350
Cash Discount Price: $1,142
vs. Medicare Baseline: 5.81x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Tristar Skyline Medical Center is $350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,142. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 5.81x the Medicare baseline. Located in 3441 Dickerson Pike, Nashville, TN.

Cash / Self-Pay

$1,142

Average discount available for prompt cash payment at this facility.

Insurance Median

$350

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: $1,142 (1895%)

Insurance Median: $350 (581%)

Cash: $1,142 (1895% of Medicare)

Ins. Median: $350 (581% 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 581% of the Medicare baseline (a markup of 481%). 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
Blue Cross Blue Shield	$20 - $263	33%
Bright Health	$194 - $274	322%
Oscar	$209	347%
Kentucky Labor Cabinet	$210	348%
Nhc Advantage, Inc.	$217	360%
Pruitt Health (Allyalign)	$217	360%
Ambetter / Centene	$255 - $265	423%
United	$282 - $514	468%
Humana	$286 - $743	475%
Cigna	$288 - $372	478%
Centurion	$471	781%
Aetna	$571 - $4,700	947%
Bgfh Singlesource	$571 - $971	947%
Employers Health Network	$800	1327%
Mhnet	$857	1422%
Odom'S Tn Pride Sausage	$857	1422%
Multiplan	$937	1555%
Beech Street	$1,005	1667%
Prime Health	$1,005	1667%
Triwest Healthcare	$1,120	1858%

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 $1,142.
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 Tristar Skyline 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.