CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Johnson Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $92
  • Cash Discount Price: $151
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Johnson Memorial Hospital is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.53x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$151

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $151 (251%)
Insurance Median: $92 (153%)
Cash: $151 (251% of Medicare)
Ins. Median: $92 (153% 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
Connecticare $43 - $49 71%
Connecticut Dept Of Correction $65 108%
Aetna $69 - $214 114%
Blue Cross Blue Shield $69 - $92 114%
Medicare (plans) $69 - $73 114%
UnitedHealthcare $69 - $538 114%
Cca Senior Care Options $71 118%
Cigna $71 - $250 118%
Bcn Domestic $92 153%
Blue Benefit Administrators Of Massachusetts $92 153%
Blue Care Network $92 153%
Blue Distinction Transplant $92 153%
Blue Shield - Ca $92 153%
Blue Shield - Id (Regence) $92 153%
Blue Shield - Ny Highmark Northeastern $92 153%
Blue Shield - Ny Highmark Western $92 153%
Blue Shield - Pa (Highmark) $92 153%
Blue Shield - Wa (Regence) $92 153%
Fallon Health $92 153%
Health Choices $92 153%
Kaiser Domestic $92 153%
Pre-Employment $92 153%
Unicare $92 153%
Wc Domestic $92 153%
Wellpoint $92 153%
Claimdoc $149 247%
Diversified Administrators $149 247%
Innovative Health Plan Ii $149 247%
Centivo $165 274%
Health New England $178 295%
1199 National Benefit Fund $214 355%
Allied Benefit Systems $214 355%
Gravie Admin Services $214 355%
Hap $214 355%
Luminare Health $214 355%
Meritain $214 355%
Nippon Life Ins $214 355%
Webtpa $214 355%
Prime Health Services $219 363%
Allied National Global Care $227 377%
Asrm - Reliance Standard Life Insurance $227 377%
Christian Care Ministry $227 377%
Dean Health $227 377%
Family Life Insurance Company $227 377%
Ghc Scw $227 377%
International Benefit Administrators $227 377%
Lifetime Benefit Solutions $227 377%
Manhattan Life $227 377%
Medi Share $227 377%
Multiplan $227 377%
Mvp $227 377%
Pai $227 377%
Pan-American Life $227 377%
Paramount Hmo $227 377%
Phcs $227 377%
Trinity Health Share $227 377%
Health Smart $233 387%
Allegiance $250 415%
Health Partners $250 415%
Magnacare $250 415%
United Behavioral Health Eap $274 455%
Geha $538 893%
Harvard Pilgrim Healthcare $538 893%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals