CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Palisades Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $262
Cash Discount Price: $70
vs. Medicare Baseline: 4.35x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Palisades Medical Center is $262. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.35x the Medicare baseline. Located in 7600 River Rd, North Bergen, NJ.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$262

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: $70 (116%)

Insurance Median: $262 (435%)

Cash: $70 (116% of Medicare)

Ins. Median: $262 (435% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 435% of the Medicare baseline (a markup of 335%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Karna	$11	18%
Aetna	$58 - $226	96%
Seoul Medical Group	$59 - $62	98%
Clover	$61 - $65	101%
Vaccn	$70	116%
Horizon	$70 - $311	116%
Blue Cross Blue Shield	$70	116%
Amerigroup	$70	116%
Wellcare	$70	116%
United Community/Americhoice	$73	121%
Oxford	$174 - $175	289%
UnitedHealthcare	$176 - $238	292%
Bergen Risk	$255 - $269	423%
Activecare First McO	$272 - $287	451%
Amerihealth	$285 - $335	473%
Multiplan - PHCS	$289 - $305	480%
Brighton Health Plan	$306 - $323	508%
Qualcare	$315 - $332	523%
Cigna	$325 - $343	539%

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 $70.
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 Palisades 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.