CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Clovis Community Medical Center
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $15
- Cash Discount Price: $306
- vs. Medicare Baseline: 0.25x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Clovis Community Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $306. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.25x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$306
Average discount available for prompt cash payment at this facility.
Insurance Median
$15
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: $306 (508%)
Insurance Median: $15 (25%)
Cash: $306 (508% of Medicare)
Ins. Median: $15 (25% 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.
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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 | $7 - $244 | 12% |
| Blue Shield | $7 - $218 | 12% |
| Cal Caloptima | $7 | 12% |
| Ccs Fresno | $7 | 12% |
| Ccs Kern | $7 | 12% |
| Ccs Kings | $7 | 12% |
| Ccs Madera/Sacramento | $7 | 12% |
| Ccs Mariposa | $7 | 12% |
| Ccs Merced | $7 | 12% |
| Ccs Stanislaus | $7 | 12% |
| Ccs Tulare | $7 | 12% |
| Chdp | $7 | 12% |
| Fresno County Funded Specialty Care | $7 | 12% |
| Generic Care Out Of County | $7 | 12% |
| Generic Ccs Other Counties | $7 | 12% |
| Genetically Handicapped Person | $7 | 12% |
| Gold Coast Medi-Cal | $7 | 12% |
| Medi-Cal Alameda Alliance For Health | $7 | 12% |
| Medi-Cal Blue Shield Promise Health | $7 | 12% |
| Medi-Cal California Health & Wellness Plan | $7 | 12% |
| Medi-Cal Cencal Health | $7 | 12% |
| Medi-Cal Community Health Group | $7 | 12% |
| Medi-Cal Contra Costa Health Plan | $7 | 12% |
| Medi-Cal Health Plan Of San Mateo | $7 | 12% |
| Medi-Cal Inland Empire Health | $7 | 12% |
| Medi-Cal Kern Family Health | $7 | 12% |
| Medi-Cal La Care Health | $7 | 12% |
| Medi-Cal Molina | $7 | 12% |
| Medi-Cal Partnership Health Plan Of Ca | $7 | 12% |
| San Francisco Health Plan Medi-Cal | $7 | 12% |
| Santa Clara Family Health Plan - Premier Health | $7 | 12% |
| Santa Clara Family Health Plan - Valley Health | $7 | 12% |
| Advantek Table Mountain Rancheria Tribal Member | $8 - $76 | 13% |
| Aetna | $8 - $192 | 13% |
| Alignment Health Plan | $8 - $83 | 13% |
| Blue Shield 65 Plus Hmo Ehs | $8 - $76 | 13% |
| Blue Shield 65 Plus Hmo First Choice | $8 - $76 | 13% |
| Blue Shield Hmo-Cvmp/Medpro | $8 - $76 | 13% |
| Blue Shield Promise - Imperial | $8 - $76 | 13% |
| Blue Shield Saint Agnes | $8 - $76 | 13% |
| Blue Shield Sante | $8 - $76 | 13% |
| Brand New Day | $8 - $76 | 13% |
| Bscphp - Dhmso | $8 - $76 | 13% |
| Bscphp - First Choice | $8 - $76 | 13% |
| Bscphp Hmo - First Choice | $8 - $76 | 13% |
| Care1St Hmo - Ehs | $8 - $76 | 13% |
| Cares Act Provider Relief Fund | $8 - $76 | 13% |
| Champion Health Plan Of California Ma | $8 - $83 | 13% |
| Cigna | $8 - $238 | 13% |
| Gemcare Hmo | $8 - $76 | 13% |
| Generic | $8 - $76 | 13% |
| Generic Bscphp | $8 - $76 | 13% |
| Generic Victims Of Crime | $8 - $76 | 13% |
| Hartford Life Supplement | $8 - $76 | 13% |
| Healthnet Hmo - Cvmp/Medpro | $8 - $76 | 13% |
| Healthnet Hmo - Dhmso | $8 - $76 | 13% |
| Healthnet Hmo - La Salle | $8 - $76 | 13% |
| Healthnet Hmo - Sante | $8 - $76 | 13% |
| Healthnet Sante | $8 - $76 | 13% |
| Healthnet Sante - Sub Cap Dual Risk | $8 - $76 | 13% |
| Healthnet Sante Dual Risk | $8 - $76 | 13% |
| Humana | $8 - $326 | 13% |
| Innovative Integrated Health Community Plans Hmo | $8 - $83 | 13% |
| Medi-Cal Innovative Integrated Health | $8 - $76 | 13% |
| Medicare (plans) | $8 - $76 | 13% |
| Meritage Blue Shield 65 Plus | $8 - $76 | 13% |
| Meritage Brand New Day | $8 - $76 | 13% |
| Meritage Healthnet Hmo | $8 - $76 | 13% |
| Railroad Part A | $8 - $76 | 13% |
| Railroad Part A & B | $8 - $76 | 13% |
| Railroad Part B | $8 - $76 | 13% |
| Sante | $8 - $76 | 13% |
| Sante Sub Cap Healthnet Seniority | $8 - $76 | 13% |
| Sante Sub Cap-Blue Shield/Sante | $8 - $76 | 13% |
| Sante-Blue Shield/Sante | $8 - $76 | 13% |
| Sante-Healthnet Seniority | $8 - $76 | 13% |
| Sante-Sub Cap Ma Brand New Day | $8 - $76 | 13% |
| Scan Health Plan | $8 - $76 | 13% |
| Sequoia Pace - Peak Tpa | $8 - $76 | 13% |
| Todays Pyramid | $8 - $76 | 13% |
| UnitedHealthcare | $8 - $201 | 13% |
| Us Marshal | $8 - $76 | 13% |
| Victims Of Crime | $8 - $76 | 13% |
| Well Path (Cfmg) | $8 - $421 | 13% |
| Wellcare | $8 - $76 | 13% |
| Imperial Health Plan Hmo | $9 - $87 | 15% |
| Correctcare Integrated Health | $10 - $99 | 17% |
| Health Plan Of San Joaquin | $11 | 18% |
| Sequoia Pace | $11 | 18% |
| Adventist -Mcl Calviva Sub Cap | $12 | 20% |
| Healthnet | $14 - $225 | 23% |
| Coalinga State Hospital | $15 - $152 | 25% |
| Naphcare Inc-Mendota | $16 - $163 | 27% |
| Kaiser | $60 | 100% |
| Central Valley Medical Providers | $96 - $268 | 159% |
| Community Care | $98 | 163% |
| Employer 90/40 | $153 | 254% |
| Central Ca Indian Health | $211 | 350% |
| Nx Health Network Ppo | $211 | 350% |
| Healthsmart | $260 - $306 | 431% |
| Coventry Health Care (First Health Network) | $287 | 476% |
| Network By Design | $287 | 476% |
| Generic Multiplan | $326 | 541% |
| Phcs | $326 | 541% |