CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Garfield Medical Center
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $254
- Cash Discount Price: $845
- vs. Medicare Baseline: 4.21x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Garfield Medical Center is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $845. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.21x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$845
Average discount available for prompt cash payment at this facility.
Insurance Median
$254
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: $845 (1402%)
Insurance Median: $254 (421%)
Cash: $845 (1402% of Medicare)
Ins. Median: $254 (421% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 421% of the Medicare baseline (a markup of 321%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $9 - $608 | 15% |
| Allied Physicians | $13 - $114 | 22% |
| Ahmc Healthcare Inc | $16 - $365 | 27% |
| Beverly Hospital | $16 - $83 | 27% |
| Brand New Day | $16 - $95 | 27% |
| Care 1St Mcl/Gar Cap Reciprocity | $16 | 27% |
| Community Health Plan | $16 | 27% |
| Emanate Health | $16 - $95 | 27% |
| Health Net | $16 - $1,022 | 27% |
| Healthy Way La | $16 | 27% |
| La Care Health Plan | $16 - $669 | 27% |
| Other Non-Contracting Medi-Cal | $16 | 27% |
| Physicians Healthways Medi-Cal | $16 - $1,217 | 27% |
| Aids Health Foundation | $19 - $75 | 32% |
| Avanti | $19 - $91 | 32% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $19 | 32% |
| Hollywood Presbyterian Medpoint Mcal | $19 | 32% |
| State Of California Medi-Cal | $19 | 32% |
| Physician Healthways Medical Corporation | $22 | 37% |
| Caloptima Direct | $28 | 46% |
| Pacific Independent Physician Association | $33 - $195 | 55% |
| Access Ipa Ancillary | $42 - $365 | 70% |
| Associated Hispanic Phys Of So Cal | $42 - $243 | 70% |
| Care First Health Plan | $42 - $122 | 70% |
| UnitedHealthcare | $42 - $730 | 70% |
| Veterans Administration | $53 | 88% |
| Aetna | $75 - $886 | 124% |
| Apa Aco Inc | $75 | 124% |
| Blue Shield | $75 - $191 | 124% |
| Central Health Plan | $75 - $487 | 124% |
| Cms | $75 | 124% |
| Easy Choice Health Plan | $75 | 124% |
| Humana | $75 | 124% |
| Non-Contract Medi-Care | $75 | 124% |
| Pacific Alliance Medical Center Comm/Sr | $75 | 124% |
| Physicians Healthways Medical Corporation | $75 - $1,217 | 124% |
| Advantage Care Ipa | $76 - $1,217 | 126% |
| Blue Shield Of California | $76 - $608 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx | $76 | 126% |
| First Health Network | $76 - $852 | 126% |
| La Care Covered Direct | $76 | 126% |
| Scan Health Plan Sr Hmo | $76 | 126% |
| Self-Pay | $76 | 126% |
| Ucla Impact Dept Of Uncology | $76 | 126% |
| Alignment Health Plan | $78 | 129% |
| Molina Healthcare | $78 | 129% |
| Molina Healthcare Of California | $78 - $95 | 129% |
| Inter Valley Health Plan | $80 | 133% |
| Employee Health Systems Mg | $83 - $243 | 138% |
| National Disaster Medical System | $83 | 138% |
| San Miguel Health Plan | $83 | 138% |
| Athens Administrators | $87 | 144% |
| Interplan | $87 - $913 | 144% |
| Multiplan | $87 - $1,034 | 144% |
| Other Non-Contracted Workers Compensation | $87 | 144% |
| Preferred Health Network | $87 | 144% |
| Chinatown Service Center Pace | $91 | 151% |
| Ahmc Health Epo | $95 | 158% |
| Knox-Keene Act | $95 | 158% |
| Health Net Comm/Hmo | $121 - $669 | 201% |
| Health Net Inc | $123 | 204% |
| Family Health Alliance | $125 - $365 | 207% |
| Allied Physicians Risk Pool | $146 - $426 | 242% |
| Allied Physicians Risk Pool Agreement | $146 - $426 | 242% |
| Healthnet Medi Cal Cap | $146 - $426 | 242% |
| Pipa Risk Pool Agreement | $146 - $426 | 242% |
| Molina Medical Group | $162 - $475 | 269% |
| Pacificare Ppo | $163 | 270% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $166 - $487 | 275% |
| Health Net Foundation M Cal (Family Health Alliance) | $166 - $487 | 275% |
| Phys Assoc Of San Gab Valley | $166 - $487 | 275% |
| Allied Physicians Med Grp | $208 - $608 | 345% |
| Cigna | $212 - $621 | 352% |
| Pacificare Of California Inc | $223 | 370% |
| Alhambra Hospital | $250 - $730 | 415% |
| Care 1St Health Plan | $250 - $730 | 415% |
| One Health Plan | $291 - $852 | 483% |
| Fmc Los Angeles Co Epo | $312 - $913 | 518% |
| Corvel Corporation | $333 - $974 | 553% |
| Americas Health Plan | $354 - $1,034 | 587% |
| Health Payors Organization | $374 - $1,095 | 621% |
| East La Reg Ctr | $416 - $1,217 | 690% |
| Non Contract Commercial | $416 - $1,217 | 690% |
| One Legacy | $416 - $1,217 | 690% |
| Private Pay | $416 - $1,217 | 690% |