CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Lee County Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $70
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Lee County Community Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.16x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $70 (116%)
Insurance Median: $70 (116%)
Cash: $70 (116% of Medicare)
Ins. Median: $70 (116% 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
Blue Cross Blue Shield $19 - $303 32%
UnitedHealthcare $24 - $303 40%
Optima Health $47 78%
Aetna $49 - $303 81%
Molina Healthcare $49 - $69 81%
Ambetter / Centene $67 111%
Amerigroup $67 - $303 111%
Managed Medicaire $67 111%
Medicare (plans) $67 111%
Mountain Empire Pace $67 111%
Sentara Health $67 - $78 111%
United Mine Workers Of America $67 111%
Humana $68 113%
Cigna $70 - $303 116%
Devoted Health Plan $70 116%
Nhc Advantage $70 116%
Seven Corners, Inc. $160 265%
First Health Coventry $303 503%
Medcost $303 503%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals