CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Whittier Hospital Medical Center
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $87
- Cash Discount Price: $71
- vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Whittier Hospital Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.44x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$71
Average discount available for prompt cash payment at this facility.
Insurance Median
$87
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: $71 (118%)
Insurance Median: $87 (144%)
Cash: $71 (118% of Medicare)
Ins. Median: $87 (144% 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
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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 | $8 - $264 | 13% |
| Applecare Medical Group | $10 | 17% |
| Aids Healthcare Foundation | $13 - $75 | 22% |
| Allied Physicians | $13 - $114 | 22% |
| Kaiser Foundation | $13 - $370 | 22% |
| Synermed | $13 - $76 | 22% |
| Ahmc Medi-Cal Reciprocity Agreement | $16 | 27% |
| Alta Med Health Network | $16 - $75 | 27% |
| Altamed Health Services Corporation | $16 | 27% |
| Beverly Hospital | $16 - $83 | 27% |
| Brand New Day | $16 - $93 | 27% |
| Emanate Health | $16 - $93 | 27% |
| Health Net | $16 - $316 | 27% |
| Healthy Way La | $16 | 27% |
| Heritage Provider Network | $16 - $102 | 27% |
| La Care Healthy Families/Healthy Kids | $16 | 27% |
| Non Contracted Medi-Cal | $16 | 27% |
| Prospect Health Plan | $16 - $121 | 27% |
| Monarch Healthplan | $18 | 30% |
| Avanti | $19 - $91 | 32% |
| Care First Health Plan | $19 | 32% |
| County Of Los Angeles Dept Of Health Services | $19 | 32% |
| Hollywood Presbyterian Adv Med Mcal | $19 | 32% |
| Hollywood Presbyterian Medpoint Mcal | $19 | 32% |
| La Care Health Plan | $19 - $291 | 32% |
| Medi Caid/ Medi Cal | $19 | 32% |
| Pacific Independent Physician Association | $19 - $159 | 32% |
| Capnet | $21 | 35% |
| Caloptima | $23 - $75 | 38% |
| Physician Healthways | $53 | 88% |
| Veterans Administration | $53 | 88% |
| Aetna | $75 - $385 | 124% |
| Alta Los Angeles Hospitals Inc | $75 | 124% |
| Apa/Aco Inc | $75 | 124% |
| Central Health Plan | $75 | 124% |
| Easy Choice Health Plan | $75 | 124% |
| Humana | $75 | 124% |
| Medicare (plans) | $75 - $78 | 124% |
| Pacificare Of California | $75 | 124% |
| Scan Health Plan | $75 | 124% |
| Blue Shield Of California | $76 - $264 | 126% |
| Caremore | $76 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $76 | 126% |
| La Care Covered Direct | $76 | 126% |
| Pacific Alliance Medical Center | $76 | 126% |
| Private Pay | $76 | 126% |
| Self-Pay | $76 | 126% |
| Tricare | $76 | 126% |
| Alignment Health Plan | $78 | 129% |
| Molina Healthcare Of California | $78 | 129% |
| San Miguel Health Plan | $83 | 138% |
| Athens Administrators Ahmc Work Comp | $87 | 144% |
| Fmc Los Angeles County | $87 - $397 | 144% |
| Interplan Health Group | $87 | 144% |
| Misc 1 | $87 | 144% |
| Multiplan Wc | $87 | 144% |
| Chinatown Service Center Pace | $91 | 151% |
| Ahmc Health | $95 | 158% |
| Knox-Keene Act | $95 | 158% |
| Molina Medical Center | $95 - $206 | 158% |
| Physicians Healthways Medical Corporation | $132 | 219% |
| Ahmc Reciprocity | $159 | 264% |
| Ahmc Reciprocity Agreement Senior/Commercial | $159 | 264% |
| Wear And Wood | $159 - $212 | 264% |
| UnitedHealthcare | $183 - $511 | 304% |
| Edward Medical Group | $185 | 307% |
| Health Net Inc | $186 - $344 | 309% |
| Central Health Plan Of California | $212 | 352% |
| Healthnet | $228 - $367 | 378% |
| Allied Physicians Ipa | $238 | 395% |
| Cigna | $264 | 438% |
| Prospect Medical | $291 | 483% |
| Care 1St Health Plan | $317 | 526% |
| New Horizon Medical Group Inc | $317 | 526% |
| Cost Containment | $344 | 571% |
| Davita Healthcare Partners | $344 | 571% |
| Universal Care | $344 - $370 | 571% |
| Asi/Flex | $370 | 614% |
| Us Comp Care | $370 | 614% |
| Value Healthplan Of California | $370 | 614% |
| Community Care Network | $397 | 659% |
| Coventry Health Care | $397 | 659% |
| Coventry Health Care National Network | $397 | 659% |
| Interplan Corporation | $397 | 659% |
| Managed Care Administrators | $397 | 659% |
| Prohealth | $397 | 659% |
| Multiplan | $450 | 747% |
| Commercial Non Contract | $529 | 878% |
| Medi-Cal Sub Acute | $529 | 878% |
| One Legacy | $529 | 878% |
| Great-West Healthcare Of California | $2,500 | 4148% |