CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $522
Cash Discount Price: $629
vs. Medicare Baseline: 8.66x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Sharp Coronado Hospital and Hlthcr Ctr is $522. 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 8.66x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$629

Average discount available for prompt cash payment at this facility.

Insurance Median

$522

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: $522 (866%)

Cash: $629 (1044% of Medicare)

Ins. Median: $522 (866% 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 866% of the Medicare baseline (a markup of 766%). 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
Community Health Group	$1 - $587	2%
Health Net	$1 - $587	2%
Aetna	$53 - $628	88%
Allianz Global Assistance	$126 - $335	209%
California Health And Wellness	$285	473%
Blue Cross Blue Shield	$401 - $754	665%
Medicare (plans)	$401 - $535	665%
Multiplan	$419	695%
Humana	$511	848%
Blue Shield	$524 - $628	869%
Medi-Cal	$535	888%
UnitedHealthcare	$549 - $628	911%
Kaiser	$587	974%
County Medical Services	$628	1042%
Indian Health Council	$628	1042%
Interplan	$628	1042%
Cigna	$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 Sharp Coronado Hospital and Hlthcr Ctr 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.