CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: St Francis Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $287
Cash Discount Price: $258
vs. Medicare Baseline: 4.76x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at St Francis Hospital is $287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.76x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$258

Average discount available for prompt cash payment at this facility.

Insurance Median

$287

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: $258 (428%)

Insurance Median: $287 (476%)

Cash: $258 (428% of Medicare)

Ins. Median: $287 (476% 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 476% of the Medicare baseline (a markup of 376%). 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
Wexford	$32	53%
Molina Healthcare	$34 - $79	56%
Meridian Health Plan	$35	58%
Clear Spring Health of Illinois	$75	124%
Blue Cross Blue Shield	$75 - $82	124%
Humana	$75	124%
Aetna	$79 - $252	131%
UnitedHealthcare	$79 - $358	131%
Amish Community	$100	166%
Celtic Insurance Company	$181	300%
Claim Doc	$188	312%
Hopetrust	$206	342%
Wellfirst	$230	382%
First Health	$266	441%
Caterpillar, Inc.	$287	476%
Current Health Solutions	$301	499%
Multiplan/Phcs	$304	504%
Consociate Group	$304	504%
Healthlink	$305	506%
Cigna	$319	529%
Provider Network of America	$322	534%
Healthcare Finest Network (Hfn)	$322	534%
Illinois Breast and Cervical Cancer Program	$358	594%
Healthscope	$358	594%
Interplan	$358	594%
Naphcare	$358	594%
Health Alliance Medical Plans	$358	594%
Live360	$358	594%

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 $258.
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 St Francis Hospital 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.