CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: University Hospitals Ahuja Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $191
  • Cash Discount Price: $281
  • vs. Medicare Baseline: 3.17x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at University Hospitals Ahuja Medical Center is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $281. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.17x the Medicare baseline. Located in 3999 Richmond Road, Beachwood, OH.
Cash / Self-Pay
$281

Average discount available for prompt cash payment at this facility.

Insurance Median
$191

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: $281 (466%)
Insurance Median: $191 (317%)
Cash: $281 (466% of Medicare)
Ins. Median: $191 (317% 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 317% of the Medicare baseline (a markup of 217%). 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 - $255 91%
Blue Cross Blue Shield $55 - $252 91%
Cigna $55 - $267 91%
Devoted Health $55 91%
Humana $55 91%
Medical Mutual Of Ohio $55 - $195 91%
Molina $55 91%
Primetime Health Plan $55 91%
Summacare $55 - $191 91%
The Health Plan $55 - $248 91%
UnitedHealthcare $55 - $256 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%
University Health Employee Plan (Contigo) $150 249%
Amish Aid Community Plan $172 285%
Amish Church Fund And Workers Aid Plan $172 285%
Buckeye Plain Ministries $172 285%
Clarity $180 299%
Jp Farley $180 299%
Christian Healthcare Ministries $188 312%
Immergrun $188 312%
Sunrise Plan Communities $188 312%
Aultcare $206 342%
Healthsmart $244 405%
Ohio Health Choice $244 - $338 405%
Medical Mutual Traditional/Health Ohio $262 435%
Beech Street $300 - $338 498%
Ohio Preferred Network $300 - $338 498%
First Health $311 516%
Century Health Network $319 529%
Private Healthcare System $322 534%
Configurenet $338 561%
Fortified Provider Network $338 561%
Multiplan $338 561%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3999 Richmond Road, Beachwood, OH 44122
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals