Electrocardiogram (EKG, tracing only)
Facility: Mercy Hospital of Buffalo
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $7
- Cash Discount Price: $123
- vs. Medicare Baseline: 0.12x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 - $9 | 7% |
| Beacon Essential [350122] | $5 - $8 | 8% |
| Fidelis Essential [100163] | $5 - $17 | 8% |
| VA Veterans Affairs [700001] | $5 - $6 | 8% |
| Univera Healthcare [100169] | $5 - $9 | 8% |
| Medicaid / KanCare | $5 - $48 | 8% |
| Independent Health Essential [100166] | $5 - $57 | 8% |
| Univera Healthcare Essential [100170] | $5 - $9 | 8% |
| Fallon Health [450115] | $6 | 10% |
| Catholic Health Life Pace [400005] | $6 | 10% |
| Meritain [100063] | $6 | 10% |
| Humana | $6 | 10% |
| Medicare (plans) | $6 - $69 | 10% |
| Aetna | $6 | 10% |
| Fidelis Dual Advantage [450120] | $6 | 10% |
| Tricare | $6 | 10% |
| Magnacare [100142] | $6 | 10% |
| Champ VA [700002] | $6 | 10% |
| Cigna | $6 - $9 | 10% |
| Wellcare Fidelis Dual [450451] | $6 | 10% |
| Covid19 Hrsa [45013] | $6 | 10% |
| Seneca Nation [450119] | $6 | 10% |
| Hospice [550001] | $6 | 10% |
| Ghi [100153] | $7 | 12% |
| Iha First Choice [800001] | $7 - $103 | 12% |
| Beacon Health Options [100023] | $7 | 12% |
| Independent Health [100165] | $7 - $115 | 12% |
| Fidelis Exchange [100164] | $7 - $9 | 12% |
| Wellcare [450129] | $7 | 12% |
| Blue Cross Blue Shield | $8 - $17 | 13% |
| Tuscarora Nation [550120] | $8 | 13% |
| Excellus Rochester McD [350117] | $8 | 13% |
| Crime Victims [100176] | $8 | 13% |
| Amerigroup [350102] | $8 | 13% |
| Mvp Healthcare [100168] | $10 | 17% |
| UPMC Health Plan [100181] | $11 - $15 | 18% |
| Federal Workers Compensation [500100] | $14 - $44 | 23% |
| Molina Essential [100167] | $17 | 28% |
| No Fault [114001] | $44 - $59 | 73% |