CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Riverside Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $435
Cash Discount Price: $1,941
vs. Medicare Baseline: 7.22x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Riverside Community Hospital is $435. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,941. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 7.22x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.

Cash / Self-Pay

$1,941

Average discount available for prompt cash payment at this facility.

Insurance Median

$435

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: $1,941 (3221%)

Insurance Median: $435 (722%)

Cash: $1,941 (3221% of Medicare)

Ins. Median: $435 (722% 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 722% of the Medicare baseline (a markup of 622%). 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
Brand New Day	$9	15%
La Care Health	$9	15%
Molina	$9	15%
Inland Empire Health Plan	$12	20%
Blue Shield	$68 - $109	113%
Medcare Partners	$291	483%
Aetna	$349	579%
Health Net	$433	718%
Cigna	$435	722%
United	$511	848%
Redlands Community	$582	966%
Bright Health	$769	1276%
First Health	$854 - $1,747	1417%
American Health System	$874	1450%
Healthsmart	$1,553	2577%
Multiplan	$1,553 - $1,650	2577%
Next	$1,553	2577%

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 $1,941.
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 Riverside Community 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.