CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Loma Linda University Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $368
Cash Discount Price: $524
vs. Medicare Baseline: 6.11x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Loma Linda University Medical Center is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $524. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 6.11x the Medicare baseline. Located in 11234 Anderson St, Loma Linda, CA.

Cash / Self-Pay

$524

Average discount available for prompt cash payment at this facility.

Insurance Median

$368

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: $524 (869%)

Insurance Median: $368 (611%)

Cash: $524 (869% of Medicare)

Ins. Median: $368 (611% 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 611% of the Medicare baseline (a markup of 511%). 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 (Iehp)	$28 - $75	46%
Kaiser Foundation Hospitals	$31 - $777	51%
Adventist Health	$75 - $233	124%
Alpha Care Medical Group	$75 - $113	124%
Dignity Health	$75 - $113	124%
Epic Health Plan	$75 - $466	124%
UnitedHealthcare	$75 - $691	124%
Upland Medical Group	$75	124%
Vantage Medical Group	$75 - $113	124%
Prime Health Services	$80 - $990	133%
Riverside University Health System	$83	138%
Molina Healthcare Of Ca	$101	168%
Blue Cross Blue Shield	$115 - $684	191%
Heritage Provider Network	$124	206%
Lluh Dept Of Risk Management	$233	387%
Blue Shield Of California	$462 - $707	767%
Global Benefits Group	$699	1160%
Temecula Valley Physicians Medical Group	$699	1160%
Trivalley Medical Group	$699	1160%
Aetna	$708	1175%
Cigna	$746 - $862	1238%
Networks By Design	$757	1256%
Multiplan	$874	1450%
Central Health Plan	$932	1546%
Galaxy Health	$990	1643%
Health Management Network	$1,048	1739%

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 $524.
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 Loma Linda University 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.