CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Loma Linda University Children's Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $328
Cash Discount Price: $387
vs. Medicare Baseline: 5.44x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Loma Linda University Children's Hospital is $328. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $387. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 5.44x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$387

Average discount available for prompt cash payment at this facility.

Insurance Median

$328

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: $387 (642%)

Insurance Median: $328 (544%)

Cash: $387 (642% of Medicare)

Ins. Median: $328 (544% 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 544% of the Medicare baseline (a markup of 444%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Inland Empire Health Plan (Iehp)	$28 - $75	46%
Kaiser Foundation Hospitals	$31 - $574	51%
Alpha Care Medical Group	$75 - $113	124%
Dignity Health	$75 - $113	124%
Epic Health Plan	$75 - $344	124%
Upland Medical Group	$75	124%
Vantage Medical Group	$75 - $113	124%
Molina Healthcare Of Ca	$95 - $101	158%
Heritage Provider Network	$124	206%
Adventist Health	$172	285%
Lluh Dept Of Risk Management	$207	343%
UnitedHealthcare	$290 - $691	481%
Blue Shield Of California	$348 - $527	577%
Global Benefits Group	$517	858%
Temecula Valley Physicians Medical Group	$517	858%
Trivalley Medical Group	$517	858%
Blue Cross Blue Shield	$529	878%
Cigna	$551 - $637	914%
Networks By Design	$560	929%
Aetna	$565	937%
Multiplan	$689	1143%
Galaxy Health	$732	1215%
Prime Health Services	$732	1215%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $387.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93005.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Loma Linda University Children's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93005.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.