CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: The University of Vermont Health Network - Champl

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $14
Cash Discount Price: $148
vs. Medicare Baseline: 0.23x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at The University of Vermont Health Network - Champl is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.23x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$148

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $148 (246%)

Insurance Median: $14 (23%)

Cash: $148 (246% of Medicare)

Ins. Median: $14 (23% 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
UnitedHealthcare	$4 - $123	7%
Mvp	$5 - $128	8%
Aetna	$6 - $115	10%
Blue Cross Blue Shield	$6 - $345	10%
Capital District Physicians' Health Plan	$6 - $127	10%
Fidelis Care	$6 - $73	10%
Humana	$6 - $69	10%
Martins Point	$6 - $78	10%
Veterans Affairs Community Care Network	$6 - $73	10%
Highmark Blueshield	$8 - $119	13%
Wellpath	$8 - $109	13%
St. Regis	$73 - $107	121%
Harvard Pilgrim	$107 - $129	178%
Magnacare	$107 - $129	178%
Coventry	$121 - $145	201%
Multiplan	$127 - $153	211%
Emblem Health	$129	214%

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 $148.
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 The University of Vermont Health Network - Champl 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.