CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Adventist Health Castle

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $132
Cash Discount Price: $94
vs. Medicare Baseline: 2.19x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Adventist Health Castle is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.19x the Medicare baseline. Located in 640 Ulukahiki St, Kailua, HI.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $94 (156%)

Insurance Median: $132 (219%)

Cash: $94 (156% of Medicare)

Ins. Median: $132 (219% 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 219% of the Medicare baseline (a markup of 119%). 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
Uni Health Alliance - All Plans	$10	17%
UnitedHealthcare	$15	25%
Hmsa Hmo	$29	48%
Hmsa Ppo - All Other Plans	$29	48%
Alohacare Quest Mcaid - All Other Plans	$41 - $106	68%
Kfh Mcr Adv	$70	116%
Medicare (plans)	$70	116%
Ohana Health Plan - All Plans	$71	118%
Devoted Hlth Mcr Adv - All Plans	$73	121%
Pacific Admin Ppo - All Plans	$105 - $270	174%
Hwmg/Hmaa - All Plans	$121 - $312	201%
Health Alliance - All Plans	$132 - $339	219%
Mdx Hawaii Ppo - All Plans	$132 - $338	219%
Kfh - All Other Plans	$140 - $360	232%
First Health Ppo - All Plans	$155 - $399	257%
Medicaid / KanCare	$165 - $424	274%
State Of Hi Nonprofit - All Plans	$289 - $742	480%

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 $94.
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 Castle 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.