CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Coastal Communities Hospital
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $87
- Cash Discount Price: $631
- vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Coastal Communities Hospital is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $631. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.44x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$631
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: $631 (1047%)
Insurance Median: $87 (144%)
Cash: $631 (1047% 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 |
|---|---|---|
| Kpc Healthcare Inc | $20 - $95 | 33% |
| Altamed Mcal Hmo (Ancillary) | $24 | 40% |
| Healthcare Partners | $24 | 40% |
| Hollywood Presbyterian | $24 - $76 | 40% |
| Kaiser | $24 - $389 | 40% |
| Medi-Cal Hmo/Non Contract | $24 | 40% |
| Medicaid / KanCare | $24 | 40% |
| Aetna | $31 | 51% |
| Altamed Health Services | $33 - $76 | 55% |
| Caloptima | $33 - $76 | 55% |
| Choc Health Alliance | $33 | 55% |
| County Of Orange | $33 | 55% |
| Family Choice | $33 | 55% |
| Heritage Provider Network | $33 - $379 | 55% |
| Prospect Health Plan | $33 - $114 | 55% |
| Champus | $73 | 121% |
| Blue Shield | $76 - $288 | 126% |
| Central Health Plan Of California | $76 | 126% |
| Champion Health Plan | $76 | 126% |
| Choice Physicians Network | $76 | 126% |
| Citizens Choice Health Plan | $76 | 126% |
| Clever Care Health Plan | $76 | 126% |
| Easy Choice Health Plan | $76 | 126% |
| For Your Benefit | $76 | 126% |
| Health Net | $76 - $461 | 126% |
| Healthcare Partners Sr Hmo | $76 | 126% |
| Heritage | $76 | 126% |
| Humana | $76 | 126% |
| Imperial Health Plan Of Ca | $76 | 126% |
| Innovative Integrated Health | $76 | 126% |
| Medcare Partners | $76 | 126% |
| Monarch | $76 - $142 | 126% |
| Onecare | $76 | 126% |
| Onecare Connect | $76 | 126% |
| Other Senior Non Contract | $76 | 126% |
| Scan Health Plan | $76 | 126% |
| Self Pay Ab774/Cbo Use Only | $76 | 126% |
| UnitedHealthcare | $76 - $258 | 126% |
| Us Dept Of Labor | $76 | 126% |
| Us Federal Marshall/Department Of Immigration | $76 | 126% |
| Velocity Provider Network Sr | $76 | 126% |
| Verda Health Plan Sr | $76 | 126% |
| Veterans Administration | $76 | 126% |
| Victim Of Violent Crime | $76 | 126% |
| Victoria Hospice | $76 | 126% |
| Brand New Day | $85 | 141% |
| Coventry Auto Network | $87 | 144% |
| Coventry Wc | $87 | 144% |
| Interplan | $87 - $473 | 144% |
| Multiplan | $87 - $442 | 144% |
| Prime Health Srvs | $87 - $505 | 144% |
| Prime Health Srvs/Wc | $87 | 144% |
| Three Rivers | $87 | 144% |
| Velocity National Provider Network Wc | $87 | 144% |
| Workers Comp State Of California | $87 | 144% |
| County Of Orange/Custody/Advanced Medmgt | $94 | 156% |
| Veterans Evaluation Services | $95 | 158% |
| Staywell/Island Home Ins | $106 | 176% |
| Three Rivers Network | $133 | 221% |
| Velocity National Provider Network Ppo | $133 | 221% |
| Monarch Health Plan | $152 | 252% |
| Ihhi Reciprocity | $189 | 314% |
| Cigna | $326 - $410 | 541% |
| First Health | $331 | 549% |
| Magellan | $379 | 629% |
| Networks By Design | $442 | 733% |
| Networks By Design Wc | $442 | 733% |
| Healthsmart | $473 | 785% |
| Prime Health | $473 | 785% |
| Pnoa-Provider Network Of America | $505 | 838% |
| Prime Health Srvs/Network | $536 | 889% |
| Lucet Behavioral Health Sr | $631 | 1047% |
| Managed Health Network | $631 | 1047% |
| Other Insurance Loa | $631 | 1047% |
| Other Non Contracted Plans | $631 | 1047% |
| Private Pay | $631 | 1047% |
| Us Behavioral Health Plan | $631 | 1047% |
| Vitas Hospice | $631 | 1047% |
| One Legacy | $1,000 | 1659% |