CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Adventist Health Ukiah Valley

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $36
Cash Discount Price: $9
vs. Medicare Baseline: 0.60x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Adventist Health Ukiah Valley is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.60x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $9 (15%)

Insurance Median: $36 (60%)

Cash: $9 (15% of Medicare)

Ins. Median: $36 (60% 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.

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
Ah Employee Health Plan - All Plans	$8 - $146	13%
Blue Shield Mcr Adv	$8 - $81	13%
Kaiser Mcr Adv	$8 - $81	13%
Tricare	$8 - $81	13%
Healthnet-All Plans	$11 - $350	18%
UnitedHealthcare	$11 - $512	18%
Western Growers-All Plans	$11 - $349	18%
Aetna	$13 - $63	22%
Blue Shield Epn-All Other Plans	$16 - $233	27%
Kaiser Medi-Cal	$16 - $24	27%
Medi-Cal	$16 - $24	27%
Blue Shield Non-Epn	$17 - $236	28%
Mendocino Lcc District-All Plans	$21 - $398	35%
Kaiser-All Other Plans	$26 - $490	43%
Three Rivers-All Plans	$30 - $551	50%
Foundation For Medical Care-All Plans	$32 - $459	53%
Cigna	$34 - $477	56%
Networks By Design-All Plans	$34 - $490	56%
Phcs Multiplan-All Plans	$34 - $490	56%
Interplan-All Plans	$35 - $502	58%
Beech Street-All Plans	$37 - $520	61%
Choice Care-All Plans	$37 - $520	61%
Health Mgmt Network-All Plans	$37 - $520	61%
Blue Cross Blue Shield	$156 - $208	259%

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 $9.
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 Adventist Health Ukiah Valley 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.