CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $257
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 4.26x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Atlanticare Regional Medical Center - City Campus is $257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.26x the Medicare baseline. Located in 1925 Pacific Avenue, Atlantic City, NJ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$257

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%)
Insurance Median: $257 (426%)
Ins. Median: $257 (426% 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 426% of the Medicare baseline (a markup of 326%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Americhoice $41 68%
UnitedHealthcare $41 - $228 68%
Wellcare $44 73%
Horizon $45 - $225 75%
Self Pay $48 80%
Tricare $59 98%
Devoted Health Plan $68 113%
Amerigroup $83 138%
Global Exchange Managed Care $100 166%
Magnacare $128 - $289 212%
Health Partners Plan $133 221%
Cigna $135 - $162 224%
Evernorth $160 265%
Qualcare Commercial $160 265%
Great West Life $162 269%
Amerihealth $206 - $270 342%
Active Care Plus $209 347%
First Mco $209 347%
Mutual Of Omaha $209 347%
Qualcare Wc $209 347%
Aetna $225 - $3,400 373%
Consumer Health Network (Chn) $225 - $289 373%
Donio Trucking $225 373%
Devon/ Ullicare $241 400%
Oxford $241 400%
Coventry Health Care $257 426%
Private Healthcare System (Phcs) $257 426%
Blue Cross Blue Shield $264 438%
Health Payors Org $273 453%
Health South $273 453%
Metrahealth Of Nj $273 453%
Prime Health Services $273 453%
Three Rivers Provider Network (Trpn) $273 453%
Active Care Nj Pip $289 480%
Beech Street $289 480%
Choice Care $289 480%
Department Of Corrections $289 480%
Galaxy Health Network $289 480%
Health Network Inc $289 480%
Intergroup Preferred Program $289 480%
Mcs Commercial $289 480%
Metracomp $289 480%
Multiplan $289 480%
Provider Select, Inc $289 480%
Atlantis Health Plan $297 493%
Master Care Inc $297 493%
Advance Healthcare System $305 506%
Community Care Network $305 506%
Health Network America $305 506%
Mcsi/Mrsi No Fault $305 506%
Mcsi/Mrsi Worker'S Comp $305 506%
National Health Plan $305 506%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1925 Pacific Avenue, Atlantic City, NJ 08401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals