CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: NYU Langone Hospitals

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $90
Cash Discount Price: $98
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at NYU Langone Hospitals is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.49x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$98

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $98 (163%)

Insurance Median: $90 (149%)

Cash: $98 (163% of Medicare)

Ins. Median: $90 (149% 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.

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
Fidelis	$7 - $12	12%
Healthfirst	$7 - $257	12%
Amida	$8	13%
1199	$22	37%
Aetna	$23 - $641	38%
Cigna	$47	78%
Ghi	$61 - $4,846	101%
Healthplus	$70 - $257	116%
Hip	$70 - $8,427	116%
Medicaid / KanCare	$70 - $114	116%
Medicare (plans)	$70	116%
Metroplus	$70 - $257	116%
UnitedHealthcare	$70 - $257	116%
Wellcare	$70	116%
Blue Cross Blue Shield	$72 - $90	119%
Centerlight	$72	119%
Somos	$74 - $154	123%
Oxford	$90 - $103	149%
Hamaspik	$105	174%
Multiplan	$402 - $500	667%
Magnacare	$13,453 - $25,798	22321%

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 $98.
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 NYU Langone Hospitals 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.