CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $87
- Cash Discount Price: $544
- vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at AHMC Anaheim Regional Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $544. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.44x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$544
Average discount available for prompt cash payment at this facility.
Insurance Median
$87
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: $544 (903%)
Insurance Median: $87 (144%)
Cash: $544 (903% of Medicare)
Ins. Median: $87 (144% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Prospect Medical Group | $6 | 10% |
| Monarch Healthcare Medical Group | $9 | 15% |
| Allied Physicians | $13 - $114 | 22% |
| Applecare Medical Group | $13 | 22% |
| Heritage Provider Network | $13 - $87 | 22% |
| Non Contracted Medi-Cal | $13 | 22% |
| Talbert Medical Group | $13 - $23 | 22% |
| Ahmc Reciprocity Agreement | $16 - $174 | 27% |
| Altamed Health Network | $16 - $75 | 27% |
| Beverly Hospital | $16 - $83 | 27% |
| Brand New Day | $16 - $95 | 27% |
| Health Net | $16 | 27% |
| Healthcare Partners | $16 - $75 | 27% |
| Healthy Way La | $16 | 27% |
| Caloptima | $18 - $75 | 30% |
| Monarch Health Plan | $18 - $394 | 30% |
| Aids Health Foundation | $19 - $75 | 32% |
| Avanti | $19 - $91 | 32% |
| Emanate Health | $19 - $95 | 32% |
| Health Net Inc | $19 - $446 | 32% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $19 | 32% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $19 | 32% |
| Hollywood Presbyterian Medpoint Mcal | $19 | 32% |
| Medi-Cal | $19 | 32% |
| Affiliated Doctors Of Orange County | $20 | 33% |
| Private Pay Flat Rate | $23 | 38% |
| Prospect Health Plan | $23 - $102 | 38% |
| Kaiser Foundation Hospitals | $24 - $75 | 40% |
| Medical Safety Net Program | $24 | 40% |
| Memorial Healthcare Ipa | $40 | 66% |
| Msi/Medical Services For Indigents | $52 | 86% |
| Aetna | $53 - $75 | 88% |
| Veterans Administration | $53 | 88% |
| Blue Cross Blue Shield | $60 - $134 | 100% |
| Alta Los Angeles Hospital | $71 | 118% |
| Tricare | $72 | 119% |
| Alignment Health Plan | $75 | 124% |
| Apa Aco Inc | $75 | 124% |
| Blue Shield Of California | $75 - $208 | 124% |
| California Health Plan | $75 | 124% |
| Central Health Of California | $75 | 124% |
| Davita Heatlhcare Partners Plan Inc | $75 - $314 | 124% |
| Healthnet | $75 | 124% |
| Humana | $75 | 124% |
| Medicare (plans) | $75 - $290 | 124% |
| Pacificare | $75 | 124% |
| Scan Health Plan | $75 | 124% |
| Seoul Medical Group | $75 - $76 | 124% |
| Wellcare | $75 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $76 | 126% |
| Innovative Integrated Health (Iih)/Orange County Pace | $76 | 126% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $76 | 126% |
| Self-Pay | $76 | 126% |
| Nchp | $78 | 129% |
| Align Senior Care | $79 | 131% |
| Angels Baseball Workers Comp | $87 | 144% |
| Athens Administrators | $87 | 144% |
| Capp Care | $87 - $436 | 144% |
| Cigna | $87 - $296 | 144% |
| Corvel | $87 - $436 | 144% |
| First Health | $87 - $494 | 144% |
| Interplan | $87 - $407 | 144% |
| Marriot Intl | $87 | 144% |
| Non Contracted Workers Comp | $87 | 144% |
| Orange County Preferred Provider Organization | $87 - $436 | 144% |
| Ahmc Health Self-Insurance Epo | $95 | 158% |
| Knox-Keene Act | $95 | 158% |
| Netcare Life And Health Insurance | $126 - $145 | 209% |
| Advance Clinical Research Institute | $152 - $174 | 252% |
| UnitedHealthcare | $187 - $326 | 310% |
| Medical Acquisition Company | $202 - $232 | 335% |
| Healthcare Partners Commercial | $273 - $314 | 453% |
| Huntington Memorial Hospital | $273 - $314 | 453% |
| Genesis Healthcare Ipa Ancillary | $304 - $349 | 504% |
| Affiliated Health Fund | $354 - $407 | 587% |
| Allnet Preferred Provider | $354 - $407 | 587% |
| Care First | $354 - $407 | 587% |
| Private Healthcare Systems | $354 - $407 | 587% |
| Choicecare | $380 - $436 | 630% |
| Multiplan Inc | $380 - $436 | 630% |
| National Provider Network | $405 - $465 | 672% |
| Three Rivers Providers Network | $405 - $465 | 672% |
| Health Payors Organization | $455 - $523 | 755% |
| Non Contracted Commercial | $506 - $581 | 840% |