CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Adventist Health Delano

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $41
Cash Discount Price: $20
vs. Medicare Baseline: 2.67x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Adventist Health Delano is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 2.67x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$15.36

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.36 (100%)

Cash / Self-Pay: $20 (130%)

Insurance Median: $41 (267%)

Cash: $20 (130% of Medicare)

Ins. Median: $41 (267% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.36 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 267% of the Medicare baseline (a markup of 167%). 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
Bakersfield Fam Med Grp-All Plans	$16	104%
Healthnet Mcr Adv	$16	104%
Kern Mcr Adv Dual Dnsp-All Other Plans	$16	104%
Medicare (plans)	$16 - $26	104%
Tricare	$16	104%
UnitedHealthcare	$16 - $72	104%
Universal Care Mcr- All Other Plans	$16	104%
Blue Shield Epn - All Other Plans	$22	143%
Kaiser Comm Ip/Op Only- All Other Plans	$28	182%
Ah Employee Health Plan - All Plans	$29	189%
Centivo - All Plans	$36	234%
Blue Cross Blue Shield	$41 - $83	267%
Dignty Hlth Mcal Op Only	$41	267%
Kaiser Medi-Cal Ip/Op Only	$41	267%
Medi-Cal	$41	267%
Universal Care Mcal	$41	267%
Healthnet Medi-Cal	$49	319%
Kern Health System Mcal	$53	345%
Coventry- All Plans	$60	391%
Healthnet- All Other Plans	$67	436%
County Of Kern Network - All Plans	$70	456%
Gem Care- All Plans	$70	456%
Aetna	$74	482%
Foundation For Medical Care Of Kern County - All P	$75	488%
Cigna	$80	521%
Western Growers - All Plans	$81	527%
Blue Shield Non-Epn	$101	658%

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 $20.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93000.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Delano is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93000.
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.