CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Lewisgale Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $692
Cash Discount Price: $974
vs. Medicare Baseline: 11.48x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Lewisgale Medical Center is $692. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $974. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 11.48x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.

Cash / Self-Pay

$974

Average discount available for prompt cash payment at this facility.

Insurance Median

$692

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: $974 (1616%)

Insurance Median: $692 (1148%)

Cash: $974 (1616% of Medicare)

Ins. Median: $692 (1148% 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 1148% of the Medicare baseline (a markup of 1048%). 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
Cigna	$169 - $429	280%
Lifeworks	$185	307%
Universal Healthcare Group	$214	355%
Virginia Health Network	$341 - $692	566%
Aetna	$351 - $516	582%
Greenbrier Sporting Club	$354	587%
United	$356 - $438	591%
Naphcare	$487	808%
Greenvbrier Sporting Club	$584	969%
Graham-White Manufacturing	$682	1132%
Richfield Nursing Center	$682	1132%
Corvel	$701	1163%
Community Care Network	$730	1211%
Richfield Retirement Community	$730	1211%
Csx Hotels	$779	1293%
Occunet Workers Comp	$779	1293%
One Health Plan	$779	1293%
Patients Choice	$857	1422%
4Most	$877	1455%
Alleghany Highland Community	$877	1455%
American Postal Workers Union	$877	1455%
C&O Employees Hospital Assn	$877	1455%
Multiplan	$877	1455%
Phcs	$877	1455%
Star Transportation	$877	1455%

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 $974.
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 Lewisgale 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.