CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Good Samaritan Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $342
Cash Discount Price: $1,278
vs. Medicare Baseline: 5.67x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Good Samaritan Hospital is $342. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,278. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 5.67x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.

Cash / Self-Pay

$1,278

Average discount available for prompt cash payment at this facility.

Insurance Median

$342

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: $1,278 (2120%)

Insurance Median: $342 (567%)

Cash: $1,278 (2120% of Medicare)

Ins. Median: $342 (567% 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 567% of the Medicare baseline (a markup of 467%). 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
Blue Cross Blue Shield	$9	15%
Physicians Medical Group	$9	15%
Medcare Partners	$64 - $319	106%
Santa Clara Family Health Plan	$81 - $404	134%
Bright Health	$86 - $428	143%
Cigna	$99 - $1,703	164%
Health Net	$100 - $496	166%
United	$109 - $543	181%
Blue Shield	$179	297%
Nx Health Network	$256 - $1,277	425%
Sutter Select	$256 - $1,277	425%
Multiplan	$278 - $1,703	461%
Humana	$299 - $1,490	496%
First Health	$325 - $2,129	539%
Healthsmart	$342 - $1,809	567%
Intercontinental Corporation	$342 - $1,703	567%
Pha Pacific Health Alliance	$342 - $1,703	567%
Ppo Next	$342 - $1,703	567%

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 $1,278.
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 Good Samaritan Hospital 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.