CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $87
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Arthur G James Cancer Hospital and Research Institute is $87. 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 1.44x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $87 (144%)
Ins. Median: $87 (144% 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
Healthspan $33 - $5,413 55%
Medicare (plans) $33 - $5,467 55%
Medigold $33 55%
Upper Ohio Valley $33 - $5,413 55%
Humana $34 - $5,521 56%
Medicaid / KanCare $38 - $52 63%
Aetna $40 - $5,388 66%
United $42 - $136 70%
Caresource $50 - $74 83%
Mmo $50 - $127 83%
Molina $50 - $5,388 83%
Odrc $52 - $61 86%
Blue Cross Blue Shield $55 - $142 91%
Buckeye Community $55 - $74 91%
Amerihealth $56 - $81 93%
Osu Health Plan $68 - $99 113%
Lifetrac $98 - $102 163%
Ohio Ppo $98 163%
Ohiohealth $108 - $110 179%
Cigna $109 - $113 181%
Frontpath $120 199%
Healthsmart $135 224%
Multiplan $140 232%
Ohio Dept Of Health $4,289 7116%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 460 W 10Th Ave, Columbus, OH 43210
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL