Electrocardiogram (EKG, tracing only)
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $171
- Cash Discount Price: $139
- vs. Medicare Baseline: 2.84x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 284% of the Medicare baseline (a markup of 184%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Connecticut Dept of Correction | $57 | 95% |
| Aetna | $68 - $204 | 113% |
| Medicare (plans) | $68 - $70 | 113% |
| UnitedHealthcare | $68 - $161 | 113% |
| Blue Cross Blue Shield | $68 - $252 | 113% |
| Cca Senior Care Options | $69 | 114% |
| Health Partners | $70 | 116% |
| Magnacare | $70 | 116% |
| Allegiance | $70 | 116% |
| Cigna | $70 | 116% |
| Health New England | $134 | 222% |
| Innovative Health Plan II | $145 | 241% |
| Claimdoc | $145 | 241% |
| Diversified Administrators | $145 | 241% |
| Harvard Pilgrim Healthcare | $161 | 267% |
| Geha | $161 | 267% |
| Medi Share | $171 | 284% |
| Allied National Global Care | $171 | 284% |
| Pan-American Life | $171 | 284% |
| Ghc Scw | $171 | 284% |
| Christian Care Ministry | $171 | 284% |
| Asrm - Reliance Standard Life Insurance | $171 | 284% |
| Family Life Insurance Company | $171 | 284% |
| Paramount HMO | $171 | 284% |
| Pai | $171 | 284% |
| Manhattan Life | $171 | 284% |
| Trinity Health Share | $171 | 284% |
| PHCS | $171 | 284% |
| Lifetime Benefit Solutions | $171 | 284% |
| Multiplan | $171 | 284% |
| Mvp | $171 | 284% |
| Dean Health | $171 | 284% |
| International Benefit Administrators | $171 | 284% |
| Prime Health Services | $202 | 335% |
| Luminare Health | $204 | 338% |
| Allied Benefit Systems | $204 | 338% |
| Hap | $204 | 338% |
| Nippon Life Ins | $204 | 338% |
| 1199 National Benefit Fund | $204 | 338% |
| Webtpa | $204 | 338% |
| Gravie Admin Services | $204 | 338% |
| Meritain | $204 | 338% |
| Connecticare | $205 - $226 | 340% |
| Health Smart | $214 | 355% |
| Blue Shield - Ny Highmark Northeastern | $252 | 418% |
| Blue Benefit Administrators of Massachusetts | $252 | 418% |
| Blue Shield - Wa (Regence) | $252 | 418% |
| Wc Domestic | $252 | 418% |
| Blue Shield - Ca | $252 | 418% |
| Bcn Domestic | $252 | 418% |
| Blue Shield - Ny Highmark Western | $252 | 418% |
| Health Choices | $252 | 418% |
| Blue Shield - PA (Highmark) | $252 | 418% |
| Blue Shield - Id (Regence) | $252 | 418% |
| Unicare | $252 | 418% |
| Pre-Employment | $252 | 418% |
| Blue Distinction Transplant | $252 | 418% |
| Blue Care Network | $252 | 418% |
| Kaiser Domestic | $252 | 418% |