CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Blount Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $96
Cash Discount Price: $90
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Blount Memorial Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.59x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$96

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: $90 (149%)

Insurance Median: $96 (159%)

Cash: $90 (149% of Medicare)

Ins. Median: $96 (159% 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.

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
UnitedHealthcare	$12 - $346	20%
Medicaid / KanCare	$18 - $49	30%
Blue Cross Blue Shield	$31 - $58	51%
Humana	$55	91%
Medicare (plans)	$55 - $58	91%
Tricare	$55	91%
Cigna	$58 - $160	96%
Prisma Health Seniorcare Pace - Midlands [5400]	$68	113%
Prisma Health Seniorcare Pace-Upstate [5200]	$68	113%
Mvp Health Care [3037]	$75	124%
Ambetter / Centene	$87	144%
Bob Jones Univ-Pai [821]	$96	159%
Promise Health Plan Contracted [2401]	$102 - $175	169%
Orangeburg Senior Helping Center Pace [5401]	$116	192%
Consociate Health Contracted [4835]	$123	204%
Fairos/Occunet Contracted [4837]	$129	214%
Preferred Administrators Contracted [2839]	$204	338%
Medcost [2940]	$215 - $242	357%
Atlantic Packaging Contracted [4833]	$218	362%
Aps Healthcare System [2981]	$233	387%
Multiplan/Phcs Contracted [2950]	$259	430%
Aetna	$262	435%
Meritain Health Contracted [2200]	$262	435%
Nippon [2300]	$262	435%
Vsp Vision Care [2986]	$262	435%
First Health Contracted [2952]	$271	450%
Furman Int/Allen University Student [2951]	$271	450%
Quiktrip-First Health [3067]	$271	450%
Golden Rule Insurance Company [2991]	$346	574%
Oxford Health Plans [2992]	$346	574%

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 $90.
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 Blount Memorial Hospital 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.