CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Jfk University Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $207
Cash Discount Price: $63
vs. Medicare Baseline: 3.43x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Jfk University Medical Center is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.43x the Medicare baseline. Located in 65 James Street, Edison, NJ.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$207

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: $63 (105%)

Insurance Median: $207 (343%)

Cash: $63 (105% of Medicare)

Ins. Median: $207 (343% 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 343% of the Medicare baseline (a markup of 243%). 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	$55 - $288	91%
UnitedHealthcare	$58 - $933	96%
Amerigroup	$59 - $74	98%
Horizon	$59 - $316	98%
Vaccn	$59 - $66	98%
Wellcare	$59 - $66	98%
Clover	$61	101%
United Community/Americhoice	$62 - $69	103%
Blue Cross Blue Shield	$66 - $104	110%
Seoul Medical Group	$73	121%
Cigna	$170 - $327	282%
Brighton Health Plan	$204 - $306	338%
Brighton Health Plan - Jri@Oumc	$221	367%
Activecare First McO	$238	395%
Intergroup	$238	395%
Bergen Risk	$255	423%
Prime Health	$272	451%
Oxford	$281 - $505	466%
Multiplan - PHCS	$289	480%
Qualcare	$315	523%
Amerihealth	$322 - $336	534%

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 $63.
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 Jfk University 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.