CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Jacobi Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $92
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Jacobi Medical Center is $92. 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 1.53x 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
$92

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: $92 (153%)
Ins. Median: $92 (153% 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
Healthfirst $6 - $204 10%
Aetna $8 - $13 13%
Emblem $8 - $122 13%
Wellcare $8 13%
Fidelis $11 - $204 18%
Blue Cross Blue Shield $22 - $204 37%
Elderplan $70 116%
Vaccn $70 116%
Vnsny $70 - $92 116%
Centers Plan For Healthy Living $73 121%
Metroplus $86 - $204 143%
Amidacare $91 151%
Carelon $91 - $266 151%
Senior Whole Health $91 151%
United $91 - $156 151%
United Behavioral Health $91 - $100 151%
Affinity $92 - $204 153%
Carelon (Amida Care) $92 153%
Oscar $105 174%
Oxford $112 - $128 186%
Centerlight $204 338%
Cigna $307 509%
Magnacare $307 509%
Multiplan $327 543%
Local 1199 $347 576%
Villagecare Max $347 576%

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