CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: St Charles Hospital
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $70
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at St Charles Hospital is $70. 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 $60.27, this hospital’s rate is 1.16x the Medicare baseline. Located in 200 Belle Terre Road, Port Jefferson, NY.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$70
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%)
Insurance Median: $70 (116%)
Ins. Median: $70 (116% 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
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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 |
|---|---|---|
| Affinity Health Plan | $8 - $17 | 13% |
| Beacon Health Options | $8 - $98 | 13% |
| Beacon Health Strategies | $8 - $98 | 13% |
| Centerlight Healthcare | $8 - $70 | 13% |
| Elderplan Inc. | $8 - $70 | 13% |
| Emblem Health | $8 - $158 | 13% |
| Fidelis Care New York | $8 - $70 | 13% |
| Health First | $8 - $158 | 13% |
| Health Plus | $8 - $70 | 13% |
| Independent Health | $8 - $70 | 13% |
| Medicaid / KanCare | $8 | 13% |
| Mvp Health Plans | $8 - $248 | 13% |
| Senior Whole Health | $8 - $70 | 13% |
| UnitedHealthcare | $8 - $148 | 13% |
| Zadroga | $12 | 20% |
| Blue Cross Blue Shield | $24 - $70 | 40% |
| Self Pay | $32 | 53% |
| Aetna | $70 - $248 | 116% |
| Centers Plan For Healthy Living | $70 | 116% |
| Healthspring | $70 | 116% |
| Liberty Health | $70 | 116% |
| Longevity Health Plan | $70 | 116% |
| Medicare (plans) | $70 - $74 | 116% |
| Orthonet - Uniformed Services Family Health Plan | $70 | 116% |
| Pmc | $70 | 116% |
| Tricare | $70 | 116% |
| Universal Healthcare | $70 | 116% |
| Us Family Health Plan | $70 | 116% |
| Veterans Affairs | $70 | 116% |
| Humana | $72 | 119% |
| Agewell New York | $73 | 121% |
| Partners Health Plan | $74 | 123% |
| Wellcare Health Plan Inc | $77 | 128% |
| Local 1199 | $88 | 146% |
| Surest | $148 | 246% |
| American Plan Administrators | $158 | 262% |
| Amerihealth Administrators | $158 | 262% |
| Benefit Services | $158 | 262% |
| Ghi Cbp Ny City Employee Alternate | $158 | 262% |
| International Benefit Administrator | $158 | 262% |
| Ultra Benefits Inc. | $158 | 262% |
| Oscar Health | $203 | 337% |
| Apwu | $248 | 411% |
| Brighton | $248 - $346 | 411% |
| Centivo | $248 | 411% |
| Cigna | $248 - $322 | 411% |
| Daniel H Cook | $248 | 411% |
| Mail Handlers Benefit Plan | $248 | 411% |
| Meritain Health | $248 | 411% |
| Nalc | $248 | 411% |
| Nippon Life Insurance Company Of America | $248 | 411% |
| Salvation Army | $248 | 411% |
| Samba | $248 | 411% |
| Allied Wellfare Fund | $322 | 534% |
| American Group Administrators | $322 | 534% |
| Bakery & Confectionery Union | $322 | 534% |
| Comprehensive Benefits Consultant | $322 | 534% |
| Guardian Life Insurance Company Of America | $322 | 534% |
| Maloney And Assoc | $322 | 534% |
| Multiplan | $322 | 534% |
| Performax | $322 | 534% |
| Phcs | $322 | 534% |
| Pomco | $322 | 534% |
| Tpa Inc | $322 | 534% |
| Unicare | $322 | 534% |
| United Employees Health Plan | $322 | 534% |
| Coventry | $366 - $421 | 607% |
| Magellan | $396 | 657% |
| Galaxy | $446 | 740% |
| Three Rivers Provider Network | $446 | 740% |
| Aither Health | $495 | 821% |
| Alpha Care | $495 | 821% |
| Dentaquest | $495 | 821% |