CMS Price Transparency Data
Electrocardiogram (ECG/EKG)
Facility: Monterey Park Hospital
Billing Code: 93000 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93000
- Insurance Median: $213
- Cash Discount Price: $1,065
- vs. Medicare Baseline: 13.87x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Monterey Park Hospital is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,065. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 13.87x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$1,065
Average discount available for prompt cash payment at this facility.
Insurance Median
$213
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: $1,065 (6934%)
Insurance Median: $213 (1387%)
Cash: $1,065 (6934% of Medicare)
Ins. Median: $213 (1387% 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 1387% of the Medicare baseline (a markup of 1287%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 |
|---|---|---|
| Associated Hispanic Physicians Ancillary | $12 - $29 | 78% |
| Esperanza Medical Group Ipa | $12 - $29 | 78% |
| Access Ipa Ancillary | $16 - $29 | 104% |
| Accountable Ipa | $23 | 150% |
| Allied Physicians | $23 | 150% |
| Alta Med Health Services Corp | $23 - $266 | 150% |
| Altamed Health Network | $23 - $29 | 150% |
| Assess Ipa | $23 | 150% |
| Blue Cross Blue Shield | $23 - $532 | 150% |
| Care 1St Mcl/Gar Cap | $23 | 150% |
| Family Health Alliance Medical Group | $23 - $320 | 150% |
| Healthnet Inc | $23 | 150% |
| La Care | $23 | 150% |
| Medical Managed Care Program | $23 | 150% |
| Molina Healthcare | $23 | 150% |
| Preferred Ipa Of California | $23 | 150% |
| Alhambra Community Dialysis Unit Inc | $25 - $639 | 163% |
| Aids Health Foundation | $28 | 182% |
| Avanti | $28 | 182% |
| Emanate Health | $28 | 182% |
| Hollywood Presbyterian Adv Med Mcal | $28 | 182% |
| Hollywood Presbyterian Medpoint Mcal | $28 | 182% |
| Maxi Med Inc/Ipa | $28 | 182% |
| Medi Cal | $28 | 182% |
| Pacific Independent Physician Association | $28 - $320 | 182% |
| Ahmc Healthcare Inc | $29 - $320 | 189% |
| Altamed Health Services | $29 | 189% |
| Applecare Medical Group | $29 | 189% |
| Beverly Hospital | $29 | 189% |
| Brand New Day | $29 - $639 | 189% |
| Community Health Plan | $29 | 189% |
| Health Net Medi Cal | $29 | 189% |
| Healthy Way La | $29 | 189% |
| La Care Health Plan | $29 - $586 | 189% |
| Other Non-Contracted Medi-Cal | $29 | 189% |
| Preferred Ipa | $29 - $639 | 189% |
| Bella Vista Medical Group Ancillary | $35 | 228% |
| Central Health Plan | $35 | 228% |
| Caloptima Direct | $42 | 273% |
| Altamed Health Services Corporation | $106 | 690% |
| Care 1St M Cal | $106 | 690% |
| Crown City Medical Group Inc | $106 | 690% |
| Garfield Medical Center | $106 | 690% |
| Physician Healthways | $106 - $266 | 690% |
| Universal Care M Cal/Advantage Health Network | $106 | 690% |
| Blue Shield Of California | $172 - $1,029 | 1120% |
| Health Net Of California | $191 - $637 | 1243% |
| Health Net Inc | $198 - $754 | 1289% |
| Pacificare | $198 - $237 | 1289% |
| Employee Health Systems Medical Group | $213 | 1387% |
| Global Care Medical Group Ipa | $213 - $479 | 1387% |
| Healthnet/Ehs Capitation | $213 | 1387% |
| Aetna | $266 - $775 | 1732% |
| Hispanic Physicians Ipa Medical Corporation | $266 | 1732% |
| Ahmc Reciprocity Agreement Senior/Commercial | $320 | 2083% |
| Allied Physicians Ipa | $320 | 2083% |
| Bella Vista Medical Group | $320 | 2083% |
| Community Health Plan M Cal Joy Ipa | $320 | 2083% |
| Medicare (plans) | $320 | 2083% |
| Molina Healthcare Of California | $320 | 2083% |
| Tenet Reciprocity | $320 | 2083% |
| Healthcare Partners Affiliates Medical Group | $380 | 2474% |
| Molina Medical Centers | $415 | 2702% |
| Central Health Plan Of California | $426 | 2773% |
| Cigna | $543 | 3535% |
| Care 1St Health Plan | $639 | 4160% |
| Greater Los Angeles Dialysis Inc | $639 | 4160% |
| One Health Plan | $639 - $775 | 4160% |
| Choice Care Network | $692 | 4505% |
| Health Net | $692 | 4505% |
| Healthnet | $692 | 4505% |
| UnitedHealthcare | $746 | 4857% |
| Universal Care | $746 | 4857% |
| Interplan | $799 | 5202% |
| Corvel Corporation | $852 - $925 | 5547% |
| Preferred Health Network | $852 | 5547% |
| Bce Emergis Corp | $905 | 5892% |
| Multiplan | $905 | 5892% |
| Commercial Non Contract | $1,065 | 6934% |
| Mri/Ct Greater El Monte Hospital | $1,065 | 6934% |
| Mri/Mra/Alhambra Hospital | $1,065 | 6934% |
| Mri/Mra/Eladh | $1,065 | 6934% |
| One Legacy | $1,065 | 6934% |