CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Tristar Summit Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $263
Cash Discount Price: $919
vs. Medicare Baseline: 4.36x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Tristar Summit Medical Center is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $919. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.36x the Medicare baseline. Located in 5655 Frist Blvd, Hermitage, TN.

Cash / Self-Pay

$919

Average discount available for prompt cash payment at this facility.

Insurance Median

$263

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: $919 (1525%)

Insurance Median: $263 (436%)

Cash: $919 (1525% of Medicare)

Ins. Median: $263 (436% 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 436% of the Medicare baseline (a markup of 336%). 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	$21 - $211	35%
Bright Health	$156 - $221	259%
Oscar	$168	279%
Kentucky Labor Cabinet	$169	280%
Apex Health	$175	290%
Nhc Advantage, Inc.	$175	290%
Pruitt Health (Allyalign)	$175	290%
Ambetter / Centene	$205 - $213	340%
Humana	$230 - $598	382%
Cigna	$232 - $736	385%
United	$257 - $414	426%
Centurion	$379	629%
Aetna	$460 - $4,700	763%
Bgfh Singlesource	$460 - $782	763%
Multiplan	$598	992%
Employers Health Network	$644	1069%
Odom'S Tn Pride Sausage	$690	1145%
Compsych	$736	1221%
Beech Street	$809	1342%
Prime Health	$809	1342%

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 $919.
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 Summit 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.