CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Good Samaritan Hospital Medical Center

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 Good Samaritan Hospital Medical Center 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 1000 Montauk Highway, West Islip, 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

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
Affinity Health Plan $8 - $17 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 - $250 13%
Senior Whole Health $8 - $70 13%
UnitedHealthcare $8 - $150 13%
Zadroga $12 20%
Blue Cross Blue Shield $24 - $69 40%
Self Pay $32 53%
Aetna $70 - $250 116%
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 $150 249%
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 $205 340%
Apwu $250 415%
Centivo $250 415%
Cigna $250 - $326 415%
Daniel H Cook $250 415%
Mail Handlers Benefit Plan $250 415%
Meritain Health $250 415%
Nalc $250 415%
Nippon Life Insurance Company Of America $250 415%
Salvation Army $250 415%
Samba $250 415%
Allied Wellfare Fund $326 541%
American Group Administrators $326 541%
Bakery & Confectionery Union $326 541%
Brighton $326 - $381 541%
Comprehensive Benefits Consultant $326 541%
Guardian Life Insurance Company Of America $326 541%
Maloney And Assoc $326 541%
Multiplan $326 541%
Performax $326 541%
Phcs $326 541%
Pomco $326 541%
Tpa Inc $326 541%
Unicare $326 541%
United Employees Health Plan $326 541%
Coventry $371 - $426 616%
Galaxy $451 748%
Three Rivers Provider Network $451 748%
Aither Health $501 831%
Alpha Care $501 831%
Dentaquest $501 831%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Montauk Highway, West Islip, NY 11795
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals