CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Cumberland Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $61
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Cumberland Medical Center is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.01x the Medicare baseline. Located in 421 S Main St, Crossville, TN.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $49 (81%)
Insurance Median: $61 (101%)
Cash: $49 (81% of Medicare)
Ins. Median: $61 (101% 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
Blue Cross Blue Shield $9 - $61 15%
Aetna $10 - $61 17%
UnitedHealthcare $33 - $234 55%
Wellpoint $52 - $61 86%
Farm Bureau $57 95%
Tricare $58 96%
Humana $60 100%
Cigna $61 - $94 101%
Devoted Health $61 101%
Wellcare $61 101%
Ehn $71 118%
Ambetter / Centene $94 156%
Correctional Medical Services $94 156%
Community Services Network $102 169%
Usa Managed Care Organization $110 183%
Novanet $118 196%
Direct Care America $126 209%
Medsave Usa $126 209%
National Provider Network $126 209%
Beech Street $133 221%
Ccn Managed Care $133 221%
Initial Group $138 229%
Galaxy Health Network $141 234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 S Main St, Crossville, TN 38555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals