CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Medstar Saint Mary's Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $24
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 0.40x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Medstar Saint Mary's Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.40x the Medicare baseline. Located in 25500 Point Lookout Road, Leonardtown, MD.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $23 (38%)
Insurance Median: $24 (40%)
Cash: $23 (38% of Medicare)
Ins. Median: $24 (40% 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 $24 40%
Amerigroup $24 40%
Amerihealth Caritas District Of Columbia $24 40%
Carefirst Advantage Inc $24 40%
Carefirst Blue Choice Inc $24 40%
Cigna $24 40%
First Health $24 40%
Hscsn $24 40%
Humana $24 40%
Kaiser Permanente $24 40%
Magellan Behavioral Health Inc $24 40%
Mamsi $24 40%
Medstar Family Choice $24 40%
Medstar Family Choice Inc $24 40%
Ncppo Healthlink Ppo $24 40%
Pfc $24 40%
Private Healthcare Systems (Phcs) $24 40%
Tricare $24 40%
United Behavioral Health Inc $24 40%
UnitedHealthcare $24 40%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 25500 Point Lookout Road, Leonardtown, MD 20650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals