CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Ira Davenport Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $70
Cash Discount Price: $67
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Ira Davenport Memorial Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.16x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.

Cash / Self-Pay

$67

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%)

Cash / Self-Pay: $67 (111%)

Insurance Median: $70 (116%)

Cash: $67 (111% of Medicare)

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.

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
Empire	$5 - $6	8%
Blue Cross Blue Shield	$10 - $972	17%
Fidelis Care - Exchange - All Plans	$12 - $176	20%
Geisinger - All Plans	$13 - $186	22%
Cigna	$14 - $200	23%
Independent Health - All Plans	$14 - $208	23%
Mvp Health Plan - All Plans	$14 - $200	23%
Upmc - All Plans	$15 - $221	25%
Aetna	$16 - $579	27%
Pomco Inc - All Plans	$16 - $231	27%
UnitedHealthcare	$16 - $681	27%
Emblem Health - All Plans	$19 - $282	32%
Emblem/Ghi	$20 - $599	33%
Humana	$20 - $288	33%
Martins Point - All Plans	$22 - $320	37%
Fidelis	$63	105%
Tricare	$70	116%
Amerihealth Caritas Mcr Adv - All Plans	$71	118%
Healthnow - All Plans	$72 - $1,055	119%

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 $67.
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 Ira Davenport Memorial Hospital 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.