CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Monterey Park Hospital
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $76
- Cash Discount Price: $587
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Monterey Park Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $587. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.26x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$587
Average discount available for prompt cash payment at this facility.
Insurance Median
$76
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: $587 (974%)
Insurance Median: $76 (126%)
Cash: $587 (974% of Medicare)
Ins. Median: $76 (126% 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 |
|---|---|---|
| Associated Hispanic Physicians Ancillary | $6 - $16 | 10% |
| Esperanza Medical Group Ipa | $6 - $16 | 10% |
| Access Ipa Ancillary | $7 - $16 | 12% |
| Blue Cross Blue Shield | $9 - $532 | 15% |
| Altamed Health Services Corporation | $11 - $106 | 18% |
| Care 1St M Cal | $11 - $106 | 18% |
| Crown City Medical Group Inc | $11 - $106 | 18% |
| Family Health Alliance Medical Group | $11 - $320 | 18% |
| Garfield Medical Center | $11 - $106 | 18% |
| Physician Healthways | $11 - $266 | 18% |
| Universal Care M Cal/Advantage Health Network | $11 - $106 | 18% |
| Accountable Ipa | $13 | 22% |
| Allied Physicians | $13 - $114 | 22% |
| Alta Med Health Services Corp | $13 - $266 | 22% |
| Altamed Health Network | $13 - $75 | 22% |
| Assess Ipa | $13 | 22% |
| Care 1St Mcl/Gar Cap | $13 | 22% |
| Healthnet Inc | $13 | 22% |
| La Care | $13 - $76 | 22% |
| Medical Managed Care Program | $13 | 22% |
| Molina Healthcare | $13 | 22% |
| Preferred Ipa Of California | $13 | 22% |
| Ahmc Healthcare Inc | $16 - $320 | 27% |
| Altamed Health Services | $16 | 27% |
| Applecare Medical Group | $16 - $61 | 27% |
| Beverly Hospital | $16 - $83 | 27% |
| Brand New Day | $16 - $95 | 27% |
| Community Health Plan | $16 | 27% |
| Health Net Medi Cal | $16 | 27% |
| Healthy Way La | $16 | 27% |
| La Care Health Plan | $16 - $586 | 27% |
| Other Non-Contracted Medi-Cal | $16 | 27% |
| Preferred Ipa | $16 - $95 | 27% |
| Alhambra Community Dialysis Unit Inc | $17 - $639 | 28% |
| Aids Health Foundation | $19 - $75 | 32% |
| Avanti | $19 - $91 | 32% |
| Emanate Health | $19 - $95 | 32% |
| Hollywood Presbyterian Adv Med Mcal | $19 | 32% |
| Hollywood Presbyterian Medpoint Mcal | $19 | 32% |
| Maxi Med Inc/Ipa | $19 - $76 | 32% |
| Medi Cal | $19 | 32% |
| Pacific Independent Physician Association | $19 - $320 | 32% |
| Employee Health Systems Medical Group | $22 - $213 | 37% |
| Global Care Medical Group Ipa | $22 - $479 | 37% |
| Healthnet/Ehs Capitation | $22 - $213 | 37% |
| Bella Vista Medical Group Ancillary | $24 | 40% |
| Central Health Plan | $24 | 40% |
| Hispanic Physicians Ipa Medical Corporation | $27 - $266 | 45% |
| Caloptima Direct | $28 | 46% |
| Ahmc Reciprocity Agreement Senior/Commercial | $32 - $320 | 53% |
| Allied Physicians Ipa | $32 - $320 | 53% |
| Bella Vista Medical Group | $32 - $320 | 53% |
| Community Health Plan M Cal Joy Ipa | $32 - $320 | 53% |
| Tenet Reciprocity | $32 - $320 | 53% |
| Healthcare Partners Affiliates Medical Group | $39 - $380 | 65% |
| Molina Medical Centers | $42 - $415 | 70% |
| Central Health Plan Of California | $43 - $426 | 71% |
| Veterans Administration | $53 | 88% |
| Blue Shield Of California | $54 - $1,029 | 90% |
| Cigna | $55 - $543 | 91% |
| Aetna | $57 - $775 | 95% |
| Care 1St Health Plan | $65 - $639 | 108% |
| Greater Los Angeles Dialysis Inc | $65 - $639 | 108% |
| Health Net Of California | $65 - $637 | 108% |
| One Health Plan | $65 - $775 | 108% |
| Senior Citizens Choice | $67 | 111% |
| Choice Care Network | $70 - $692 | 116% |
| Health Net | $70 - $692 | 116% |
| Healthnet | $70 - $692 | 116% |
| Alignment Health Plan | $74 | 123% |
| Apa/Aco Inc | $75 | 124% |
| Cms | $75 | 124% |
| Easy Choice Health Plan | $75 | 124% |
| First Health Senior | $75 | 124% |
| Foundation Health Plan | $75 | 124% |
| Health Net Inc | $75 - $754 | 124% |
| Humana | $75 | 124% |
| Medicare (plans) | $75 - $78 | 124% |
| Scan Health Plan | $75 | 124% |
| Secure Horizons | $75 | 124% |
| Ucla/Impact Cancer | $75 | 124% |
| UnitedHealthcare | $75 - $746 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $76 | 126% |
| La Care Covered Direct | $76 | 126% |
| Self-Pay | $76 | 126% |
| Universal Care | $76 - $746 | 126% |
| Molina Healthcare Medi-Connect | $78 | 129% |
| Interplan | $81 - $799 | 134% |
| San Miguel Health Plan | $83 | 138% |
| Asi Flex Ppo W/C | $85 | 141% |
| Athens Administrators | $85 | 141% |
| Indemnity W Comp Fee Schedule | $85 | 141% |
| Multiplan | $85 - $905 | 141% |
| Preferred Health Network | $85 - $852 | 141% |
| Corvel Corporation | $86 - $925 | 143% |
| Bce Emergis Corp | $92 - $905 | 153% |
| Ahmc Health Epo | $95 | 158% |
| Knox-Keene Act | $95 | 158% |
| Molina Healthcare Of California | $95 | 158% |
| Commercial Non Contract | $108 - $1,065 | 179% |
| Mri/Ct Greater El Monte Hospital | $108 - $1,065 | 179% |
| Mri/Mra/Alhambra Hospital | $108 - $1,065 | 179% |
| Mri/Mra/Eladh | $108 - $1,065 | 179% |
| One Legacy | $108 - $1,065 | 179% |
| Pacificare | $198 - $237 | 329% |