CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Long Island Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $58
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Long Island Community Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.96x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $75 (124%)
Insurance Median: $58 (96%)
Cash: $75 (124% of Medicare)
Ins. Median: $58 (96% 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
Aetna $21 - $58 35%
Local 1199 $29 48%
Magellan $38 63%
Multiplan $38 63%
Oscar Health Exchange $40 66%
Coventry $43 71%
Magnacare $43 - $76 71%
Cigna $46 - $58 76%
Longevity Health $47 78%
Galaxy $52 86%
Aarp $58 96%
Beacon Health Options $58 96%
Blue Cross Blue Shield $58 - $67 96%
Centerlight $58 96%
Emblem Ghi $58 96%
Fidelis $58 96%
Humana $58 96%
Integra $58 96%
Medicare (plans) $58 96%
UnitedHealthcare $58 96%
Agewell $60 100%
Elderplan Inc. $64 106%
Wellcare $64 106%
Nexus Nyu $516 - $27,706 856%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals