CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Chinese Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $126
Cash Discount Price: $352
vs. Medicare Baseline: 2.09x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Chinese Hospital is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $352. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.09x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$352

Average discount available for prompt cash payment at this facility.

Insurance Median

$126

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: $352 (584%)

Insurance Median: $126 (209%)

Cash: $352 (584% of Medicare)

Ins. Median: $126 (209% 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 209% of the Medicare baseline (a markup of 109%). 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	$24 - $119	40%
Medi-Cal	$24	40%
San Francisco Health Plan- All Plans	$24	40%
Hp Of San Mateo Medi-Cal	$29	48%
Hp Of San Mateo Health Kids/Health Worx-All Other	$31	51%
Blue Shield Medi-Cal	$32	53%
Asian Medical Group Medi-Cal Op Only	$33	55%
Jade Medi-Cal	$42	70%
Aetna	$85 - $268	141%
Cchp Mcr Adv	$85	141%
Jade Mcr Adv	$85	141%
Jade-All Other Plans	$94	156%
On Lok Mcr Adv-All Plans	$94	156%
Health Net-All Plans	$124 - $249	206%
Cigna	$129 - $258	214%
Cchp-All Other Plans	$199 - $399	330%
Hp Of San Mateo Mcr Adv	$211 - $422	350%
Asian Medical Group Mcare Op Only-All Other Plans	$234 - $469	388%
Bay Area Accountable Care Mcare	$234 - $469	388%
Blue Shield - All Other Plans	$261	433%
Bay Area Accountable Care - All Other Plans	$421 - $844	699%

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 $352.
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 Chinese 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.