CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: St Joseph's University Medical Center Inc

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $70
  • Cash Discount Price: $395
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at St Joseph's University Medical Center Inc is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $395. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.16x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$395

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $395 (655%)
Insurance Median: $70 (116%)
Cash: $395 (655% of Medicare)
Ins. Median: $70 (116% 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
Fidelis Care of New Jersey $6 - $79 10%
UnitedHealthcare $6 - $798 10%
Aetna $8 - $198 13%
Ambetter / Centene $8 - $105 13%
Amerihealth $8 - $252 13%
Clover Health $8 - $70 13%
Horizon New Jersey Total Care $8 - $70 13%
Wellpoint $8 - $78 13%
Multiplan $12 - $296 20%
Blue Cross Blue Shield $13 - $200 22%
Consumer Health Network $28 - $356 46%
Longevity Health Plan $81 134%
Horizon New Jersey Health $122 202%
Private Healthcare Systems $257 426%
Magnacare $276 458%
Oscar $372 617%
Cigna $395 655%
Oxford $734 1218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals