CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Mercy San Juan Medical Center

Billing Code: 93005 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$106

about 1.8× the $60 Medicare rate · typically $51–$201

modeled estimate · not a bill or quote

What this hospital charges insurers

$107

About the fair price

about $1 over the fair price · 1.8× Medicare

Medicare pays $60 Fair price $106 This hospital $107 Cash price $158 Hospital's list price $575

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $8 Priciest $107

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Electrocardiogram (EKG, tracing only) is about $106 (about 1.8× the $60 Medicare rate). Mercy San Juan Medical Center charges insurers about $107, or about $158 in cash — about the fair price. Located in Carmichael, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$19 - $16,950	32%
Blue Cross Blue Shieldmajor	$45 - $476	75%
Aetnamajor	$78	129%
Humanamajor	$78	129%
Kaiser Permanentemajor	$78 - $310	129%
Health Net	$68 - $5,805	113%
Molina	$31 - $78	51%
+ 8 smaller / regional plans	$7 - $460

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 158), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93005.

Insurance Before you use insurance

Call your insurance company to confirm Mercy San Juan Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 93005.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy San Juan Medical Center

Compare: Electrocardiogram (EKG, tracing only) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.