CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Bellevue Hospital Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $84
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Bellevue Hospital Center is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.39x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$71

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $71 (118%)
Insurance Median: $84 (139%)
Cash: $71 (118% of Medicare)
Ins. Median: $84 (139% 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 $4 - $189 7%
Affinity $6 - $189 10%
Amidacare $7 - $84 12%
Blue Cross Blue Shield $7 - $327 12%
Centerlight $7 - $204 12%
Elderplan $7 - $266 12%
Emblem $7 - $327 12%
Fidelis $7 - $189 12%
Wellcare $7 - $245 12%
Aetna $8 - $70 13%
Centers Plan For Healthy Living $8 - $73 13%
Hamaspik $8 - $56 13%
United $8 - $156 13%
Oscar $9 - $225 15%
Metroplus $10 - $189 17%
Local 1199 $22 - $347 37%
Vaccn $70 116%
Vnsny $70 - $347 116%
Oxford $74 - $128 123%
Carelon $84 - $266 139%
Senior Whole Health $84 139%
United Behavioral Health $84 - $92 139%
Carelon (Amida Care) $86 143%
Villagecare Max $106 - $347 176%
Cigna $307 509%
Magnacare $307 509%
Multiplan $327 543%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals