CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: UPMC Jameson

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $61
Cash Discount Price: $158
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at UPMC Jameson is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.01x the Medicare baseline. Located in 1211 Wilmington Avenue, New Castle, PA.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

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: $158 (262%)

Insurance Median: $61 (101%)

Cash: $158 (262% of Medicare)

Ins. Median: $61 (101% 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
Aetna	$12 - $57	20%
UnitedHealthcare	$12 - $169	20%
Upmc Health Plan	$12 - $60	20%
Amerihealth Caritas	$14 - $61	23%
Geisinger	$15	25%
Blue Cross Blue Shield	$17	28%
Pa Health & Wellness	$18 - $61	30%
Humana	$57 - $211	95%
Cigna	$61 - $81	101%
Highmark Wholecare (Prev Gateway)	$61	101%
Upmc Work Partners	$69	114%
Occunet	$71	118%
Multiplan	$198 - $211	329%
National Provider Network	$232	385%

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 $158.
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 UPMC Jameson 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.