CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Uh Cleveland Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $219
  • Cash Discount Price: $293
  • vs. Medicare Baseline: 3.63x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Uh Cleveland Medical Center is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.63x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$293

Average discount available for prompt cash payment at this facility.

Insurance Median
$219

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: $293 (486%)
Insurance Median: $219 (363%)
Cash: $293 (486% of Medicare)
Ins. Median: $219 (363% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 363% of the Medicare baseline (a markup of 263%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $55 - $308 91%
Blue Cross Blue Shield $55 - $232 91%
Cigna $55 - $252 91%
Devoted Health $55 91%
Humana $55 91%
Medical Mutual Of Ohio $55 - $245 91%
Molina $55 91%
Primetime Health Plan $55 91%
Summacare $55 - $266 91%
The Health Plan $55 - $254 91%
UnitedHealthcare $55 - $270 91%
Wellcare By Allwell $55 91%
Paramount $57 95%
Perennial Advantage Of Ohio $58 96%
Valor Health Plans $58 96%
Ambetter / Centene $99 164%
Caresource $99 164%
Aultcare $110 183%
University Health Employee Plan (Contigo) $156 259%
Amish Aid Community Plan $196 325%
Amish Church Fund And Workers Aid Plan $196 325%
Buckeye Plain Ministries $196 325%
Christian Healthcare Ministries $196 325%
Immergrun $196 325%
Sunrise Plain Communities $196 325%
Jp Farley $212 352%
Clarity $219 363%
Enterprise Group Planning $219 363%
Health Ohio Network $227 377%
Healthsmart $254 421%
Ohio Health Choice $254 - $352 421%
Medical Mutual Traditional/Health Ohio $274 455%
Beech Street $313 - $352 519%
Ohio Preferred Network $313 - $352 519%
First Health $325 539%
Century Health Network $332 551%
Private Healthcare System $336 557%
Configurenet $352 584%
Fortified Provider Network $352 584%
Multiplan $352 584%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals