CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Jefferson Abington Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $15
Cash Discount Price: $67
vs. Medicare Baseline: 0.25x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Jefferson Abington Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.25x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$15

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: $67 (111%)

Insurance Median: $15 (25%)

Cash: $67 (111% of Medicare)

Ins. Median: $15 (25% 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
Jup Health Partners Chip	$8 - $15	13%
Abington Pro Ibc	$9	15%
Medicare (plans)	$9 - $11	15%
Medicaid / KanCare	$10 - $21	17%
Jup Highmark	$11	18%
Keystone First	$13	22%
Aetna	$14 - $18	23%
Jup Pa Health_Wellness	$14	23%
Pa Health_Wellness Chc	$14	23%
Jab Health Partners	$15	25%
Cigna	$16	27%
Jup Geisinger Commercial	$16 - $20	27%
Upmc Commercial	$16	27%
Ibc	$109 - $235	181%

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 $67.
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 Jefferson Abington 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.