CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Riverside University Health System-Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $125
Cash Discount Price: $903
vs. Medicare Baseline: 2.07x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Riverside University Health System-Medical Center is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $903. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.07x the Medicare baseline. Located in 26520 Cactus Avenue, Moreno Valley, CA.

Cash / Self-Pay

$903

Average discount available for prompt cash payment at this facility.

Insurance Median

$125

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: $903 (1498%)

Insurance Median: $125 (207%)

Cash: $903 (1498% of Medicare)

Ins. Median: $125 (207% 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 207% of the Medicare baseline (a markup of 107%). 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
Inland Empire Health Plan Mcal Hmo	$16 - $903	27%
La Care Health Plan	$16 - $903	27%
Medi-Cal	$16 - $903	27%
Medical Groups Commercial Contracted	$20 - $903	33%
Inland Empire Health Plan	$75 - $903	124%
Medicare (plans)	$75 - $903	124%
Molina	$75 - $903	124%
Blue Cross Blue Shield	$81 - $903	134%
California Department Of Corrections	$125 - $903	207%
Kaiser	$677	1123%
Workers Comp	$903	1498%

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 $903.
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 Riverside University Health System-Medical Center 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.