CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Martin Luther King, Jr. Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $89
Cash Discount Price: $269
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Martin Luther King, Jr. Community Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $269. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.48x the Medicare baseline. Located in 1680 East 120Th Street, Los Angeles, CA.

Cash / Self-Pay

$269

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $269 (446%)

Insurance Median: $89 (148%)

Cash: $269 (446% of Medicare)

Ins. Median: $89 (148% 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

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
Preferred Professional Medical Corporation (Ipa) Of California	$6 - $46	10%
Alta	$16 - $76	27%
Brand New Day	$16 - $875	27%
Care1St Health	$16 - $76	27%
Molina Healthcare	$17 - $95	28%
La Care Health	$30	50%
Health Net	$43 - $438	71%
Santa Monica Unite Here	$66	110%
Heritage Provider Network (Hpn)	$72	119%
La Care Health Pasc-Seui	$89	148%
La Care Health Plan	$89	148%
Blue Shield Of California	$563 - $662	934%
UnitedHealthcare	$589 - $625	977%
Multiplan	$1,099 - $1,167	1823%

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 $269.
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 Martin Luther King, Jr. Community 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.