CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Wellspan York Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $287
Cash Discount Price: $314
vs. Medicare Baseline: 4.76x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Wellspan York Hospital is $287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.76x the Medicare baseline. Located in 1001 South George Street, York, PA.

Cash / Self-Pay

$314

Average discount available for prompt cash payment at this facility.

Insurance Median

$287

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: $314 (521%)

Insurance Median: $287 (476%)

Cash: $314 (521% of Medicare)

Ins. Median: $287 (476% 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 476% of the Medicare baseline (a markup of 376%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$13 - $102	22%
Aetna	$36 - $358	60%
Johns_Hopkins_Healthcare_Plan	$58 - $373	96%
Medicare (plans)	$58 - $63	96%
Highmark	$87 - $359	144%
Blue_Cross	$218 - $354	362%
First_Health_Network	$341 - $358	566%
Cigna	$351 - $357	582%
Phc	$354	587%
Wellspan_Capital_Blue_Cross	$362	601%
United_Healthcare	$370	614%
Geisinger	$373	619%
Upmc	$373	619%

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 $314.
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 Wellspan York 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.