CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Allegheny Valley Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $7
Cash Discount Price: $165
vs. Medicare Baseline: 0.12x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Allegheny Valley Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.12x the Medicare baseline. Located in 1301 Carlisle St, Natrona, PA.

Cash / Self-Pay

$165

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $165 (274%)

Insurance Median: $7 (12%)

Cash: $165 (274% of Medicare)

Ins. Median: $7 (12% 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
Univera	$5 - $9	8%
Highmark	$6 - $126	10%
Aetna	$10 - $144	17%
Cigna	$10 - $163	17%
Highmark Wholecare	$14 - $61	23%
UnitedHealthcare	$15 - $181	25%
Pennsylvania Health And Wellness	$16	27%
Amerihealth	$17 - $60	28%
Geisinger	$17	28%
Martin'S Point	$30 - $57	50%
American Health Plans	$57	95%
Life Pittsburgh	$57	95%
Medicare (plans)	$59	98%
Humana	$61	101%
Molina	$62	103%
Medical Mutual	$163	270%

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 $165.
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 Allegheny Valley 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.