CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Queens Hospital Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $80
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Queens Hospital Center is $80. 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 1.33x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.
Cash / Self-Pay
$71

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
$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: $80 (133%)
Cash: $71 (118% of Medicare)
Ins. Median: $80 (133% 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 - $180 7%
Affinity $7 - $180 12%
Blue Cross Blue Shield $7 - $180 12%
Centerlight $7 - $204 12%
Elderplan $7 - $70 12%
Emblem $7 - $108 12%
Fidelis $7 - $180 12%
Aetna $8 - $13 13%
Centers Plan For Healthy Living $8 - $73 13%
Hamaspik $8 13%
Wellcare $8 13%
Oscar $9 - $105 15%
Local 1199 $22 - $347 37%
Vaccn $70 116%
Vnsny $70 - $81 116%
Metroplus $75 - $180 124%
Amidacare $80 133%
Carelon $80 - $266 133%
Senior Whole Health $80 133%
United $80 - $156 133%
United Behavioral Health $80 - $88 133%
Carelon (Amida Care) $81 134%
Oxford $112 - $128 186%
Cigna $307 509%
Magnacare $307 509%
Multiplan $327 543%
Villagecare Max $347 576%

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