CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 93005 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$62

about 1.0× the $60 Medicare rate · typically $15–$118

modeled estimate · not a bill or quote

What this hospital charges insurers

$16

Below the fair price — a good deal

about $46 under the fair price · 0.3× Medicare

Medicare pays $60 Fair price $62 This hospital $16 Cash price $24 Hospital's list price $201

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

On the higher side — 6 of 8 other OR hospitals charge less.

Cheapest $9 Priciest $19

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Electrocardiogram (EKG, tracing only) is about $62 (about 1.0× the $60 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $16, or about $24 in cash — below the fair price — a good deal. Located in Ontario, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$7 - $368	12%
Blue Cross Blue Shieldmajor	$10 - $326	17%
Aetnamajor	$71 - $363	118%
Cignamajor	$10 - $360	17%
Humanamajor	$15 - $337	25%
Ambetter (Centene)	$115	191%
Dean Health Plan	$345	572%
GEHA	$16 - $368	27%
Health Net	$115 - $322	191%
HealthPartners	$115 - $299	191%
Meridian	$115	191%
Moda Health	$10 - $372	17%
Molina	$115	191%
PacificSource	$12 - $360	20%
Paramount	$115 - $345	191%
Presbyterian	$115	191%
Priority Health	$360	597%
SelectHealth	$10 - $345	17%
Tufts Health Plan	$115	191%
WellSense	$115	191%
+ 94 smaller / regional plans	$5 - $364

Government programs also on file: Medicare, Medicaid.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 24), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 93005.

Insurance Before you use insurance

Call your insurance company to confirm Saint Alphonsus Medical Center Ontario is in-network.
Ask your insurer whether prior approval is required for CPT code 93005.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Alphonsus Medical Center Ontario

Compare: Electrocardiogram (EKG, tracing only) at other OR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.