CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Johnson City Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $55
Cash Discount Price: $71
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Johnson City Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.91x the Medicare baseline. Located in 400 N State of Franklin Rd, Johnson City, TN.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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: $71 (118%)

Insurance Median: $55 (91%)

Cash: $71 (118% of Medicare)

Ins. Median: $55 (91% 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
Blue Cross Blue Shield	$16 - $57	27%
UnitedHealthcare	$24 - $473	40%
Cigna	$29 - $219	48%
Optima Health	$33	55%
Aetna	$34 - $302	56%
Molina Healthcare	$34 - $57	56%
Amerigroup	$53 - $55	88%
Humana	$55	91%
Managed Medicaire	$55	91%
Medicare (plans)	$55	91%
Mountain Empire Pace	$55	91%
Sentara Health	$55 - $165	91%
United Mine Workers Of America	$55	91%
Devoted Health Plan	$58	96%
Nhc Advantage	$58	96%
Wellcare	$58 - $473	96%
Ambetter / Centene	$120	199%
Medcost	$166	275%
First Health Coventry	$355	589%
Seven Corners, Inc.	$473	785%

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 $71.
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 Johnson City 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.