CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Grossmont Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $503
Cash Discount Price: $629
vs. Medicare Baseline: 8.35x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Grossmont Hospital is $503. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $629. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 8.35x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$629

Average discount available for prompt cash payment at this facility.

Insurance Median

$503

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: $629 (1044%)

Insurance Median: $503 (835%)

Cash: $629 (1044% of Medicare)

Ins. Median: $503 (835% 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 835% of the Medicare baseline (a markup of 735%). 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
Health Net	$1 - $821	2%
Aetna	$53 - $23,240	88%
Kaiser	$200 - $556	332%
Humana	$235	390%
Community Health Group	$249 - $285	413%
Epic Americas	$249	413%
Molina	$249 - $587	413%
Multiplan	$251	416%
Cigna	$285 - $628	473%
Medicare (plans)	$335	556%
UnitedHealthcare	$335	556%
Blue Shield	$352 - $587	584%
Blue Cross Blue Shield	$503 - $511	835%
Managed Health Network	$503	835%
Interplan	$535 - $670	888%
San Diego Pace	$535	888%
Allianz Global Assistance	$549 - $587	911%
County Medical Services	$566	939%
Indian Health Council	$821	1362%

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 $629.
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 Grossmont 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.