CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Jacobi Medical Center

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $125
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 8.14x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Jacobi Medical Center is $125. 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 $15.36, this hospital’s rate is 8.14x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$15.36

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.36 (100%)
Insurance Median: $125 (814%)
Ins. Median: $125 (814% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.36 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 814% of the Medicare baseline (a markup of 714%). 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
Healthfirst $13 - $204 85%
Aetna $15 - $25 98%
Wellcare $18 117%
Fidelis $24 - $204 156%
Metroplus $86 - $204 560%
Amidacare $91 592%
Blue Cross Blue Shield $91 - $204 592%
Carelon $91 - $138 592%
Senior Whole Health $91 592%
United $91 - $504 592%
United Behavioral Health $91 - $100 592%
Affinity $92 - $204 599%
Carelon (Amida Care) $92 599%
Vnsny $92 - $181 599%
Centerlight $106 690%
Emblem $136 - $319 885%
Elderplan $138 898%
Multiplan $170 1107%
Local 1199 $181 1178%
Villagecare Max $181 1178%
Magnacare $320 2083%
Oxford $362 - $410 2357%
Oscar $614 3997%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals