CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Medstar Montgomery Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $49
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Medstar Montgomery Medical Center is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.81x the Medicare baseline. Located in 18101 Prince Philip Drive, Olney, MD.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $48 (80%)
Insurance Median: $49 (81%)
Cash: $48 (80% of Medicare)
Ins. Median: $49 (81% 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
Aetna $49 81%
Amerigroup $49 81%
Amerihealth Caritas District Of Columbia $49 81%
Carefirst Advantage Inc $49 81%
Carefirst Blue Choice Inc $49 81%
Cigna $49 81%
First Health $49 81%
Hscsn $49 81%
Humana $49 81%
Kaiser Permanente $49 81%
Magellan Behavioral Health Inc $49 81%
Mamsi $49 81%
Medstar Family Choice $49 81%
Medstar Family Choice Inc $49 81%
Ncppo Healthlink Ppo $49 81%
Pfc $49 81%
Private Healthcare Systems (Phcs) $49 81%
Tricare $49 81%
United Behavioral Health Inc $49 81%
UnitedHealthcare $49 81%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18101 Prince Philip Drive, Olney, MD 20832
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals