CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Adventist Health White Memorial Montebello

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $75
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Adventist Health White Memorial Montebello is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.24x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $75 (124%)
Insurance Median: $75 (124%)
Cash: $75 (124% of Medicare)
Ins. Median: $75 (124% 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
Healthnet Salud $21 - $237 35%
Altamed Mcal $24 40%
Bc Mcal $24 40%
Blue Shield Promise Mcal $24 40%
Brand New Day Mcal $24 40%
Healthnet Mcal $24 40%
Kaiser Mcal $24 40%
La Care Mcal $24 40%
Medi-Cal $24 40%
Molina Mcal - All Plans $24 40%
Aetna $26 - $292 43%
Healthnet Comm-All Other Plans $26 - $286 43%
Blue Cross Blue Shield $30 - $339 50%
Blue Shield Epn Ifp $30 50%
Healthcare Partners-All Plans $35 - $390 58%
Alignment Health Plan-All Plans $75 124%
Altamed Mcare-All Other Plans $75 124%
Blue Shield Mcare Adv $75 124%
Brand New Day Mcare-All Other Plans $75 124%
Brandman Health Plan-All Plans $75 124%
Caremore-All Plans $75 124%
Clever Care Hp-All Plans $75 124%
Easy Choice Mcare Adv-All Plans $75 124%
Healthnet Med Adv $75 124%
Kaiser Mcare Adv $75 124%
Scan Health-All Plans $75 124%
Oscar-All Plans $79 131%
Cigna $110 183%
UnitedHealthcare $146 242%
Blue Shield Epn Core $271 450%
Blue Shield Comm - All Other Plans $281 466%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals