CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Hawkins County Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $56
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Hawkins County Memorial Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.93x the Medicare baseline. Located in 851 Locust Street, Rogersville, TN.
Cash / Self-Pay
$71

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $71 (118%)
Insurance Median: $56 (93%)
Cash: $71 (118% of Medicare)
Ins. Median: $56 (93% 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
UnitedHealthcare $13 - $323 22%
Blue Cross Blue Shield $16 - $165 27%
Aetna $37 - $202 61%
Optima Health $37 61%
Molina Healthcare $38 - $56 63%
Humana $54 90%
Managed Medicaire $54 90%
Medicare (plans) $54 90%
Sentara Health $54 - $122 90%
United Mine Workers Of America $54 90%
Amerigroup $56 93%
Cigna $56 - $219 93%
Devoted Health Plan $56 93%
Mountain Empire Pace $56 93%
Nhc Advantage $56 93%
Wellcare $57 - $473 95%
Ambetter / Centene $117 194%
Medcost $225 373%
First Health Coventry $426 707%
Seven Corners, Inc. $473 785%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 851 Locust Street, Rogersville, TN 37857
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals