Electrocardiogram (EKG, tracing only)
Facility: Johnson Memorial Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $92
- Cash Discount Price: $151
- vs. Medicare Baseline: 1.53x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Connecticare | $43 - $49 | 71% |
| Connecticut Dept of Correction | $65 | 108% |
| UnitedHealthcare | $69 - $538 | 114% |
| Medicare (plans) | $69 - $73 | 114% |
| Blue Cross Blue Shield | $69 - $92 | 114% |
| Aetna | $69 - $214 | 114% |
| Cigna | $71 - $250 | 118% |
| Cca Senior Care Options | $71 | 118% |
| Blue Shield - Id (Regence) | $92 | 153% |
| Blue Shield - Ny Highmark Western | $92 | 153% |
| Blue Care Network | $92 | 153% |
| Blue Distinction Transplant | $92 | 153% |
| Bcn Domestic | $92 | 153% |
| Blue Shield - PA (Highmark) | $92 | 153% |
| Kaiser Domestic | $92 | 153% |
| Wc Domestic | $92 | 153% |
| Wellpoint | $92 | 153% |
| Blue Shield - Wa (Regence) | $92 | 153% |
| Health Choices | $92 | 153% |
| Blue Benefit Administrators of Massachusetts | $92 | 153% |
| Fallon Health | $92 | 153% |
| Blue Shield - Ny Highmark Northeastern | $92 | 153% |
| Pre-Employment | $92 | 153% |
| Blue Shield - Ca | $92 | 153% |
| Unicare | $92 | 153% |
| Claimdoc | $149 | 247% |
| Diversified Administrators | $149 | 247% |
| Innovative Health Plan II | $149 | 247% |
| Centivo | $165 | 274% |
| Health New England | $178 | 295% |
| Webtpa | $214 | 355% |
| Nippon Life Ins | $214 | 355% |
| Meritain | $214 | 355% |
| Luminare Health | $214 | 355% |
| Allied Benefit Systems | $214 | 355% |
| Gravie Admin Services | $214 | 355% |
| Hap | $214 | 355% |
| 1199 National Benefit Fund | $214 | 355% |
| Prime Health Services | $219 | 363% |
| Lifetime Benefit Solutions | $227 | 377% |
| Multiplan | $227 | 377% |
| Manhattan Life | $227 | 377% |
| Family Life Insurance Company | $227 | 377% |
| Trinity Health Share | $227 | 377% |
| Paramount HMO | $227 | 377% |
| Medi Share | $227 | 377% |
| Christian Care Ministry | $227 | 377% |
| International Benefit Administrators | $227 | 377% |
| PHCS | $227 | 377% |
| Asrm - Reliance Standard Life Insurance | $227 | 377% |
| Pan-American Life | $227 | 377% |
| Pai | $227 | 377% |
| Ghc Scw | $227 | 377% |
| Allied National Global Care | $227 | 377% |
| Mvp | $227 | 377% |
| Dean Health | $227 | 377% |
| Health Smart | $233 | 387% |
| Allegiance | $250 | 415% |
| Magnacare | $250 | 415% |
| Health Partners | $250 | 415% |
| United Behavioral Health Eap | $274 | 455% |
| Geha | $538 | 893% |
| Harvard Pilgrim Healthcare | $538 | 893% |