CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Alhambra Hospital Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $99
  • Cash Discount Price: $412
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Alhambra Hospital Medical Center is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $412. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.64x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$412

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $412 (684%)
Insurance Median: $99 (164%)
Cash: $412 (684% of Medicare)
Ins. Median: $99 (164% 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
Ahmc-Reciprocity-Medi-Cal/Healthy Families $16 27%
Citrus Valley Health Partners $16 27%
La Care Pasc Seiu Misc $16 27%
Allied Physicians Of Ca Medi-Cal $19 32%
La Care Medi-Cal Hmo $19 32%
Medi-Cal $19 32%
Health Net Medi-Cal $24 40%
Kaiser Medi-Cal $24 40%
Miscellaneous Medi-Cal Hmo $24 40%
Blue Cross Blue Shield $27 - $126 45%
Stewart Mg Senior Hmo $46 76%
Blue Shield 65 Plus $72 119%
Ahmc-Reciprocity-Comm/Senior $74 - $173 123%
Apa Aco $74 123%
Altamed Senior Services $75 124%
Brand New Day Sr $75 124%
Central Health Plan Of Ca Senior Hmo $75 124%
Health Net Senior Hmo $75 124%
Medicare (plans) $75 - $346 124%
Aetna $76 126%
Humana $76 126%
La Care Exchange $76 126%
Miscellaneous Senior Hmo $76 126%
Tricare $76 126%
UnitedHealthcare $76 - $239 126%
Wellcare Senior Hmo $76 126%
Alignment Senior Hmo $78 129%
Allied Physicians Comm/Sr $87 - $202 144%
Allied Physicians Medi-Cal $87 - $202 144%
Miscellaneous Work Comp Hmo $87 144%
Wellcare Allied Senior Hmo $87 - $202 144%
Health Net Salud Con Hmo $92 153%
Molina Exchange $93 154%
Health Net Exchange $94 156%
Molina Health Plan $96 - $225 159%
Self Pay $99 - $230 164%
Health Net Exchange Enhanced Ppo $105 - $244 174%
Cigna $111 - $294 184%
Ahmc Health $112 186%
Allied Physicians Of Ca Commercial $114 189%
Kaiser Commercial $153 - $357 254%
Health Net Ppo/Epo/Pos $158 262%
Scan Senior Plan $161 - $374 267%
Blue Shield Value Network Exchange $169 280%
Blue Shield Hmo/Ppo $189 314%
Multiplan $198 - $461 329%
Miscellaneous Commercial Ppo/Hmo $247 - $576 410%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals