Electrocardiogram (EKG, tracing only)
Facility: Physicians Care Surgical Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $238
- Cash Discount Price: $190
- vs. Medicare Baseline: 3.95x 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 395% of the Medicare baseline (a markup of 295%). 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 |
|---|---|---|
| Connecticare | $61 | 101% |
| Highmark | $108 | 179% |
| Blue Cross Blue Shield | $108 - $257 | 179% |
| Premier Care Network | $142 | 236% |
| Aetna | $142 - $266 | 236% |
| Ag Administrators Inc | $142 | 236% |
| Coventry | $142 | 236% |
| Geha | $142 | 236% |
| Marpai Health | $142 | 236% |
| Meritain Health | $142 | 236% |
| Allied Benefit Systems | $142 | 236% |
| Continental Benefits | $142 | 236% |
| Ag Administrators | $142 | 236% |
| Trustmark | $142 | 236% |
| Allied Benefits Systems | $142 | 236% |
| Healthez | $142 | 236% |
| Lucent Health | $142 | 236% |
| Shenandoah Life | $238 | 395% |
| Aarp | $238 | 395% |
| Cigna | $238 | 395% |
| Unified Health Services | $238 | 395% |
| Keystone 65 HMO | $238 | 395% |
| Gpm Health and Life Insurance Mc Supplement | $238 | 395% |
| Pcsh Aarp | $238 | 395% |
| Medicare (plans) | $238 | 395% |
| UnitedHealthcare | $238 - $504 | 395% |
| Tricare | $238 | 395% |
| Personal Choice 65 | $238 | 395% |
| Devon Health Services | $238 | 395% |
| Humana | $238 | 395% |
| Ibc Security 65 | $238 | 395% |
| Vibra Health Plan | $238 | 395% |
| Amerihealth Administrators | $257 | 426% |
| Personal Choice | $257 | 426% |
| Independence Administrators | $257 | 426% |
| Independence Federal | $257 | 426% |
| Amerihealth New Jersey HMO | $257 | 426% |
| Empire Plan | $257 | 426% |
| Keystone Direct POS | $257 | 426% |
| Horizon of New Jersey | $257 | 426% |
| Keystone HMO | $257 | 426% |
| Ibc 2021 | $257 | 426% |
| Carefirst Administrators | $257 | 426% |
| Ibc - Local | $257 | 426% |
| Ibc | $257 | 426% |
| Ibc Local | $257 | 426% |
| Pcsh Ibc | $257 | 426% |
| Keystone Healthplan East | $257 | 426% |
| Independence Bc | $257 | 426% |
| Regence Blue Shield | $257 | 426% |
| Golden Rule Op | $504 | 836% |
| Surest | $504 | 836% |
| Oxford Health Plan | $504 | 836% |
| Oxford Life Insurance Company | $504 | 836% |
| Allsavers | $504 | 836% |