CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $115
- Cash Discount Price: $24
- vs. Medicare Baseline: 1.91x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Saint Alphonsus Medical Center Ontario is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.91x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$24
Average discount available for prompt cash payment at this facility.
Insurance Median
$115
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: $24 (40%)
Insurance Median: $115 (191%)
Cash: $24 (40% of Medicare)
Ins. Median: $115 (191% 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 |
|---|---|---|
| Medicaid / KanCare | $4 - $115 | 7% |
| Oregon Screenwise | $5 - $115 | 8% |
| UnitedHealthcare | $7 - $368 | 12% |
| Asuris Northwest Health | $10 | 17% |
| Blue Shield - Id (Regence) | $10 - $229 | 17% |
| Cigna | $10 - $360 | 17% |
| Healthcare Management Admin | $10 - $234 | 17% |
| Moda Health | $10 - $372 | 17% |
| Mountain Health Co-Op | $10 - $230 | 17% |
| Selecthealth | $10 - $345 | 17% |
| Pacificsource Health Plans | $12 - $360 | 20% |
| Humana | $15 - $337 | 25% |
| Geha | $16 - $368 | 27% |
| Blue Cross Blue Shield | $69 - $326 | 114% |
| Medicare (plans) | $69 - $74 | 114% |
| Aetna | $71 - $363 | 118% |
| American Health Advantage Of Idaho | $72 | 119% |
| Ada County Jail Inmate Ins | $115 | 191% |
| Ambetter / Centene | $115 | 191% |
| Amish Mennonite | $115 | 191% |
| Bcccp-Michigan | $115 | 191% |
| Bccp | $115 | 191% |
| Bmc Healthnet | $115 | 191% |
| Breast Grant-Connecticut | $115 | 191% |
| California Health And Wellness | $115 | 191% |
| Cardinal Innovations Lme | $115 | 191% |
| Care Oregon Ohp | $115 | 191% |
| Cencal Health Plan | $115 | 191% |
| Cenpatico | $115 | 191% |
| Centurion Of Idaho | $115 | 191% |
| Chhuny | $115 | 191% |
| Childrens Comm Health Plan | $115 | 191% |
| Childrens Medical Services Title 19 | $115 | 191% |
| Community Benefit Health | $115 | 191% |
| Community Care Behavorial Health | $115 | 191% |
| Community Health Choice | $115 | 191% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $115 | 191% |
| Dean Wi Badgercare | $115 | 191% |
| Delaware First Health | $115 | 191% |
| Delta Dental Nj | $115 | 191% |
| Dph Tb Program | $115 | 191% |
| Dscc | $115 | 191% |
| Eastpointe Lme | $115 | 191% |
| Family Health Network | $115 | 191% |
| Freedom First Healthcare | $115 | 191% |
| Ghc Scw Wi Badgercare | $115 | 191% |
| Harbor Health | $115 | 191% |
| Health Safety Net | $115 | 191% |
| Healthy Blue Ne | $115 | 191% |
| Hennepin Health | $115 | 191% |
| Id County Ada | $115 | 191% |
| Id County Canyon | $115 | 191% |
| Id County Cat Fund | $115 | 191% |
| Id County Payette | $115 | 191% |
| Idaho Womens Health Check | $115 | 191% |
| Indiana Breast Cervical Cancer | $115 | 191% |
| Inland Empire Health Plan | $115 | 191% |
| Intercommunity Health Ohp | $115 | 191% |
| Iowa Total Care | $115 | 191% |
| Jai Medical System | $115 | 191% |
| Kern Family Health Plan | $115 | 191% |
| Keystone First | $115 | 191% |
| Keystone First Chip | $115 | 191% |
| La Care Health Plan | $115 | 191% |
| Lakeland Care Inc | $115 | 191% |
| Managed Health Services - Indiana | $115 | 191% |
| Maryland Breast & Cervical Program | $115 | 191% |
| Maryland Healthy Smiles - Scion Dental | $115 | 191% |
| Maryland Physicians Care | $115 | 191% |
| Massachusetts Behavioral Health Partnership | $115 | 191% |
| Mdwise | $115 | 191% |
| Medi-Cal | $115 | 191% |
| Medi-Cal Healthnet | $115 | 191% |
| Medstar Dc Healthy Family | $115 | 191% |
| Medstar Md Health Choice | $115 | 191% |
| Mo Home State Health Plan | $115 | 191% |
| Molina Centennial Care | $115 | 191% |
| Nascentia Health Options | $115 | 191% |
| Nebraska Total Care | $115 | 191% |
| New York Cancer Services Program | $115 | 191% |
| Nextlevel Health | $115 | 191% |
| Pace Of Southwest Michigan | $115 | 191% |
| Paramount Advantage | $115 | 191% |
| Parkland Community Health Plan | $115 | 191% |
| Partners Behavioral Lme | $115 | 191% |
| Peach State Healthplan | $115 | 191% |
| Presbyterian Centennial Care | $115 | 191% |
| Prestige Health Choice | $115 | 191% |
| Priority Partners | $115 | 191% |
| Rx 340B Pass Along | $115 | 191% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $115 | 191% |
| Rx Medi-Cal | $115 | 191% |
| Rx Meridian Rx | $115 | 191% |
| Sandhills Center Lme | $115 | 191% |
| Screening For Life | $115 | 191% |
| Sunshine State Health Plan | $115 | 191% |
| Superior Health | $115 | 191% |
| Tenncare | $115 | 191% |
| Texas Children'S Health Plan | $115 | 191% |
| Trillium Community Ohp | $115 | 191% |
| Tufts Health Public Plans | $115 | 191% |
| Vaya Health Lme | $115 | 191% |
| Wellsense Health Plan | $115 | 191% |
| Wi Womens Wellness | $115 | 191% |
| Webtpa | $185 - $345 | 307% |
| Blue Benefit Administrators Of Massachusetts | $229 | 380% |
| Blue Care Network | $229 | 380% |
| Blue Distinction Transplant | $229 | 380% |
| Blue Shield - Ca | $229 | 380% |
| Blue Shield - Ny Highmark Northeastern | $229 | 380% |
| Blue Shield - Ny Highmark Western | $229 | 380% |
| Blue Shield - Pa (Highmark) | $229 | 380% |
| Blue Shield - Wa (Regence) | $229 | 380% |
| Allegiance | $291 | 483% |
| Correctional Health Partners | $299 | 496% |
| Columbia Health Network | $306 | 508% |
| Healthnet | $322 | 534% |
| Allied National Global Care | $345 | 572% |
| Asrm - Reliance Standard Life Insurance | $345 | 572% |
| Christian Care Ministry | $345 | 572% |
| Dean Health | $345 | 572% |
| Fallon Health | $345 | 572% |
| Family Life Insurance Company | $345 | 572% |
| First Choice Health | $345 | 572% |
| Ghc Scw | $345 | 572% |
| International Benefit Administrators | $345 | 572% |
| Lifetime Benefit Solutions | $345 | 572% |
| Manhattan Life | $345 | 572% |
| Pai | $345 | 572% |
| Pan-American Life | $345 | 572% |
| Paramount Hmo | $345 | 572% |
| Phcs | $345 | 572% |
| Trinity Health Share | $345 | 572% |
| Lifewise | $356 | 591% |
| Priority Health | $360 | 597% |
| Allied Benefit Systems | $363 | 602% |
| Ameriben | $363 | 602% |
| Asr Health Benefits | $363 | 602% |
| Christian Brother Services | $363 | 602% |
| Healthez | $363 | 602% |
| Luminare Health (Detroit) | $363 | 602% |
| Rural Carrier Health Benefit Plan | $363 | 602% |
| First Health | $364 | 604% |
| Medi Share | $364 | 604% |
| Providence | $364 | 604% |