CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Lewisgale Hospital Montgomery

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $607
Cash Discount Price: $843
vs. Medicare Baseline: 10.07x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Lewisgale Hospital Montgomery is $607. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $843. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 10.07x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$843

Average discount available for prompt cash payment at this facility.

Insurance Median

$607

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: $843 (1399%)

Insurance Median: $607 (1007%)

Cash: $843 (1399% of Medicare)

Ins. Median: $607 (1007% 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 1007% of the Medicare baseline (a markup of 907%). 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	$147 - $351	244%
Lifeworks	$160	265%
Universal Healthcare Group	$185	307%
Virginia Health Network	$295 - $599	489%
Aetna	$303 - $447	503%
United	$326 - $379	541%
Greenvbrier Sporting Club	$506	840%
Corvel	$607	1007%
Richfield Nursing Center	$632	1049%
Richfield Retirement Community	$632	1049%
Multiplan	$649	1077%
Community Care Network	$674	1118%
Graham-White Manufacturing	$674	1118%
Occunet Workers Comp	$674	1118%
One Health Plan	$674	1118%
Phcs	$717	1190%
Patients Choice	$742	1231%
4Most	$759	1259%
American Postal Workers Union	$759	1259%
Star Transportation	$759	1259%

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 $843.
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 Hospital Montgomery 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.