CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Queens Hospital Center

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93000
  • Insurance Median: $80
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.21x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Queens Hospital Center is $80. 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 5.21x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $80 (521%)
Ins. Median: $80 (521% 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 521% of the Medicare baseline (a markup of 421%). 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.

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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 $8 - $180 52%
Affinity $14 - $180 91%
Aetna $15 - $25 98%
Blue Cross Blue Shield $16 - $180 104%
Centerlight $16 - $106 104%
Elderplan $16 - $138 104%
Fidelis $16 - $180 104%
Wellcare $16 - $17 104%
Centers Plan For Healthy Living $17 111%
Hamaspik $17 111%
Oscar $20 - $614 130%
Local 1199 $32 - $181 208%
Metroplus $75 - $180 488%
Amidacare $80 521%
Carelon $80 - $138 521%
Senior Whole Health $80 521%
United $80 - $504 521%
United Behavioral Health $80 - $88 521%
Carelon (Amida Care) $81 527%
Vnsny $81 - $181 527%
Emblem $120 - $319 781%
Multiplan $170 1107%
Villagecare Max $181 1178%
Magnacare $320 2083%
Oxford $362 - $410 2357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals