CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: UPMC Muncy

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $240
Cash Discount Price: $272
vs. Medicare Baseline: 3.98x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at UPMC Muncy is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $272. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.98x the Medicare baseline. Located in 215 East Water Street, Muncy, PA.

Cash / Self-Pay

$272

Average discount available for prompt cash payment at this facility.

Insurance Median

$240

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: $272 (451%)

Insurance Median: $240 (398%)

Cash: $272 (451% of Medicare)

Ins. Median: $240 (398% 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 398% of the Medicare baseline (a markup of 298%). 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
Amerihealth Caritas	$12 - $2,208	20%
Geisinger	$12 - $304	20%
Highmark Wholecare (Prev Gateway)	$12 - $68	20%
Upmc Health Plan	$12 - $198	20%
UnitedHealthcare	$13 - $310	22%
Pa Health & Wellness	$18 - $2,316	30%
Upmc Work Partners	$63	105%
Three Rivers Provider Network	$67 - $408	111%
Cigna	$71 - $310	118%
Blue Cross Blue Shield	$178 - $209	295%
Aetna	$184 - $299	305%
Coventry/First Health	$227 - $305	377%
Wirerope Works	$252	418%
Multiplan	$353 - $430	586%
America'S Choice	$362	601%
Intergroup	$362	601%

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 $272.
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 Muncy 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.