CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Adventist Health Mendocino Coast

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $33
Cash Discount Price: $74
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Adventist Health Mendocino Coast is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.55x the Medicare baseline. Located in 700 River Drive, Fort Bragg, CA.

Cash / Self-Pay

$74

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $74 (123%)

Insurance Median: $33 (55%)

Cash: $74 (123% of Medicare)

Ins. Median: $33 (55% 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
Ah Employee Health Plan - All Plans	$8 - $100	13%
Cigna	$8 - $150	13%
Tricare	$8 - $94	13%
UnitedHealthcare	$8 - $155	13%
Healthnet - All Plans	$11 - $125	18%
Blue Cross Blue Shield	$12 - $29	20%
Medi-Cal	$16 - $24	27%
Blue Shield Epn	$24 - $73	40%
Partnership Hp Mcal-All Plans	$24 - $71	40%
Blue Shield - All Other Plans	$25 - $147	41%
Ahcc - All Plans	$33 - $173	55%
Beech Street - All Plans	$33 - $173	55%
Great West Hmo/Pos/Epo/Oa	$33 - $125	55%
Great West Ppo - All Other Plans	$33 - $134	55%
Multiplan - All Plans	$33 - $134	55%

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 $74.
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 Adventist Health Mendocino Coast 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.