CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $163
Cash Discount Price: $267
vs. Medicare Baseline: 2.70x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Geisinger Wyoming Valley Medical Center is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $267. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.70x the Medicare baseline. Located in 1000 East Mountain Boulevard, Wilkes Barre, PA.

Cash / Self-Pay

$267

Average discount available for prompt cash payment at this facility.

Insurance Median

$163

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: $267 (443%)

Insurance Median: $163 (270%)

Cash: $267 (443% of Medicare)

Ins. Median: $163 (270% 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 270% of the Medicare baseline (a markup of 170%). 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	$10	17%
Geisinger Family Plan	$11	18%
Amerihealth	$12	20%
Upmc For You	$12	20%
Health Partners	$13	22%
Upmc Chip	$13	22%
Blue Cross Blue Shield	$59 - $100	98%
Geisinger Health Plan	$59 - $180	98%
Humana	$59	98%
Life Geisinger	$59	98%
Medicare (plans)	$59 - $66	98%
Prison Health Services	$59	98%
Cigna	$186 - $195	309%
Ambetter / Centene	$194	322%
Aetna	$200 - $287	332%
Christian Healthcare Ministries	$215	357%
UnitedHealthcare	$220	365%
Wyoming Seminary	$301	499%
Intergroup Services	$366	607%
Multiplan	$366	607%

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 $267.
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 Geisinger Wyoming Valley Medical Center 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.