Electrocardiogram (EKG, tracing only)
Facility: San Gabriel Valley Medical Center
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $169
- Cash Discount Price: $160
- vs. Medicare Baseline: 2.80x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 280% of the Medicare baseline (a markup of 180%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $9 - $325 | 15% |
| Allied Physicians | $13 - $114 | 22% |
| Emanate Health | $13 - $95 | 22% |
| Ahmc Medi-Cal Reciprocity | $16 | 27% |
| Altamed Health Network | $16 - $75 | 27% |
| Beverly Hospital | $16 - $83 | 27% |
| Brand New Day | $16 - $203 | 27% |
| Healthnet Medi-Cal Non-Contract | $16 | 27% |
| Non Contracting Medi Cal | $16 | 27% |
| Aids Healthcare Foundation | $19 - $232 | 32% |
| Avanti | $19 - $91 | 32% |
| Healthy Way La | $19 | 32% |
| Hollywood Presbyterian Adv Med Mcal | $19 | 32% |
| Hollywood Presbyterian Medpoint Mcal | $19 | 32% |
| La Care Health Plan | $19 - $76 | 32% |
| Medicaid / KanCare | $19 | 32% |
| Physicians Healthways | $19 - $76 | 32% |
| Care 1St Health Plan | $23 - $378 | 38% |
| Private Pay | $48 | 80% |
| Veterans Administration | $53 | 88% |
| Aetna | $75 - $110 | 124% |
| Alignment Health Plan | $75 | 124% |
| Apa/Aco Inc | $75 | 124% |
| Blue Shield Of California | $75 - $191 | 124% |
| Central Health Plan | $75 - $349 | 124% |
| Health Net | $75 - $338 | 124% |
| Health Net Inc | $75 - $177 | 124% |
| Humana | $75 | 124% |
| Medicare (plans) | $75 - $78 | 124% |
| Molina Healthcare Of California | $75 - $227 | 124% |
| Pacific Alliance Medical Center | $75 | 124% |
| Pacificare Of California | $75 - $190 | 124% |
| Providence Health Network | $75 | 124% |
| Tricare | $75 | 124% |
| Wellcare | $75 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx | $76 | 126% |
| Inter Valley Health Plan | $76 | 126% |
| Self-Pay | $76 | 126% |
| St Vincent Medical Center/Psych | $76 | 126% |
| Athens Administrators | $87 | 144% |
| Beech Street | $87 - $465 | 144% |
| Other Non Contracting Workers Comp | $87 | 144% |
| Chinatown Service Center Pace | $90 | 149% |
| Ahmc Health Self-Insurance Epo | $95 | 158% |
| Knox-Keene Act | $95 | 158% |
| Ahmc Reciprocity | $145 - $174 | 241% |
| Alignment Healthplan | $169 - $203 | 280% |
| Clever Care | $169 - $203 | 280% |
| UnitedHealthcare | $182 - $268 | 302% |
| Pacific Independent Physician Associates | $193 - $232 | 320% |
| Facey Medical | $242 - $290 | 402% |
| Cigna | $246 - $296 | 408% |
| Community Care Network | $314 - $378 | 521% |
| Choicecare Network | $338 - $407 | 561% |
| Private Healthcare Systems (Phcs) | $338 - $407 | 561% |
| Affiliated Health Fund | $362 - $436 | 601% |
| Multiplan | $435 - $523 | 722% |
| Ppo Next | $435 - $523 | 722% |
| Managed Health Network | $483 - $581 | 801% |
| Medi-Cal Sub Acute | $483 - $581 | 801% |
| One Legacy | $483 - $581 | 801% |
| Other Non Contracted Commercial | $483 - $581 | 801% |
| Us Behavioral Health Plan | $483 - $581 | 801% |