CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Berkshire Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $33
Cash Discount Price: $211
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Berkshire Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.55x the Medicare baseline. Located in 725 North Street, Pittsfield, MA.

Cash / Self-Pay

$211

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $211 (350%)

Insurance Median: $33 (55%)

Cash: $211 (350% of Medicare)

Ins. Median: $33 (55% 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.

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
Cdphp	$5 - $200	8%
Health New England	$5 - $162	8%
Mcd Out Of State	$5 - $24	8%
Medicaid / KanCare	$5 - $24	8%
Bmchnp	$6 - $31	10%
Comm Tufts Qhpsub (Network)	$6 - $126	10%
Other Government	$6 - $76	10%
Point32Health	$6 - $211	10%
Fallon	$7 - $98	12%
Hospice	$7 - $76	12%
Medicare (plans)	$7 - $75	12%
UnitedHealthcare	$7 - $191	12%
Blue Cross Blue Shield	$8 - $189	13%
Commcare Alliance	$8 - $89	13%
Aetna	$9 - $168	15%
Comm Hne Hmo	$12 - $153	20%
Comm Hne Ppo	$13 - $163	22%
Workers Comp	$17 - $135	28%
Unicare	$19 - $144	32%
Allways Nhp	$23 - $144	38%
Mbhp	$24	40%
Beacon	$30 - $200	50%
Cigna	$32 - $207	53%
Mvp	$32 - $200	53%
Oxford	$32 - $200	53%
Connecticare	$33 - $211	55%
Consolidated Health Plans	$33 - $211	55%
First Health	$33 - $211	55%
Other Commercial	$33 - $211	55%
Phcs	$33 - $211	55%
Self Pay	$33 - $211	55%

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 $211.
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 Berkshire Medical Center 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.