CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Adventist Health Reedley

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $26
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Adventist Health Reedley is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.43x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $49 (81%)
Insurance Median: $26 (43%)
Cash: $49 (81% of Medicare)
Ins. Median: $26 (43% 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.

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
Ah Employee Health Plan - All Plans $8 - $137 13%
Blue Shield Mcare $8 - $76 13%
Fhcn Pace Mcr Adv-All Plans $8 - $76 13%
Lasalle Med Assoc Profee Only - All Plans $8 13%
Tricare $8 - $76 13%
UnitedHealthcare $8 - $992 13%
Upn Mcr Adv Profee Only $8 13%
Community Care Ipa Mcal-All Plans $9 - $31 15%
Kaiser - All Other Plans $10 - $244 17%
Kaiser Mcr Adv $10 - $76 17%
Western Growers/Pinnacle- All Plans $10 - $224 17%
Healthnet- All Other Plans $11 - $212 18%
Aetna $12 - $125 20%
Bc Mcal $16 - $32 27%
Cal Viva Hlth Mcal - All Plans $16 - $24 27%
Central Ca Alliance Mcal Profee Only $16 27%
Dignity Mcal Op/Profee Only-All Other Plans $16 - $26 27%
Medi-Cal $16 - $24 27%
Upn Mcal Profee Only-All Other Plans $16 27%
Kern Health Systems Mcal-All Plans $20 - $24 33%
Blue Shield Epn - All Other Plans $24 - $216 40%
Blue Shield Non Epn $25 - $250 41%
Central Ca Alliance Ccs Profee Only $25 41%
Central Ca Alliance Comm Profee Only - All Other P $25 41%
Physicians Med Group Op/Profee Only- All Plans $26 - $390 43%
Blue Cross Blue Shield $28 - $198 46%
Central Ca Alliance Chdp Profee Only $33 55%
Healthnet Medi-Cal $73 121%
Dignity Mcr Adv Op/Profee Only $76 126%
Healthnet- Mcr Adv $76 126%
Phs Prime Health Srvcs $76 126%
Bright Health Mcr Adv - All Plans $119 197%
Cigna $317 526%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals