CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Tristar Centennial Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $333
Cash Discount Price: $680
vs. Medicare Baseline: 5.53x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Tristar Centennial Medical Center is $333. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $680. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 5.53x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$680

Average discount available for prompt cash payment at this facility.

Insurance Median

$333

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: $680 (1128%)

Insurance Median: $333 (553%)

Cash: $680 (1128% of Medicare)

Ins. Median: $333 (553% 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 553% of the Medicare baseline (a markup of 453%). 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 - $156	35%
Bright Health	$116 - $163	192%
Oscar	$124	206%
Kentucky Labor Cabinet	$125	207%
Apex Health	$129	214%
Nhc Advantage, Inc.	$129	214%
Pruitt Health (Allyalign)	$129	214%
Ambetter / Centene	$152 - $158	252%
United	$166 - $306	275%
Humana	$170 - $442	282%
Cigna	$171 - $544	284%
Tennessee Donor Services	$184	305%
Centurion	$280	465%
Emerging Therapy Solutions	$333 - $456	553%
Aetna	$340 - $4,700	564%
Bgfh Singlesource	$340 - $578	564%
Value Option	$340	564%
Multiplan	$374	621%
Southern Health Partners	$408	677%
Employers Health Network	$476	790%
Mhnet	$510	846%
Odom'S Tn Pride Sausage	$510	846%
Compsych	$544	903%
Beech Street	$598	992%
Prime Health	$598	992%
UnitedHealthcare	$605 - $680	1004%

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 $680.
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 Centennial 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.