CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Good Samaritan Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $90
Cash Discount Price: $78
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Good Samaritan Medical Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.49x the Medicare baseline. Located in 235 North Pearl Street, Brockton, MA.

Cash / Self-Pay

$78

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $78 (129%)

Insurance Median: $90 (149%)

Cash: $78 (129% of Medicare)

Ins. Median: $90 (149% 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
Unicare [8004]	$41	68%
Wellpoint [2034]	$41	68%
Aetna	$71 - $112	118%
Blue Cross Blue Shield	$71 - $113	118%
Humana	$71	118%
Medicare (plans)	$71 - $74	118%
Neighborhood Pace [1206]	$71	118%
Ubh Hphc [8016]	$71	118%
United Community Plan [1202]	$71	118%
UnitedHealthcare	$71	118%
Veterans Admin [9003]	$71	118%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010]	$71	118%
Cca [1215]	$74	123%
Zzzcca Onecare [1216]	$74	123%
Eternalhealth [1227]	$75	124%
Harvard Pilgrim Health Care [8001]	$90	149%
Fallon [8008]	$92	153%
Mass General Brigham Health Plan Commercial [8009]	$100	166%
Mass General Brigham Health Plan Prime [7003]	$100	166%
Cigna	$103 - $182	171%
Senior Whole Health [1210]	$106	176%
Meritain Health [1023]	$112	186%
Tufts [8002]	$155 - $182	257%
Hsn Bad Debt [4003]	$395	655%
Hsn Confidential [4007]	$395	655%
Hsn Dental [4006]	$395	655%
Hsn Partial [4002]	$395	655%
Hsn [4001]	$395	655%

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 $78.
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 Good Samaritan 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.