CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Children's Hosp of Los Angeles
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $29
- Cash Discount Price: $44
- vs. Medicare Baseline: 0.48x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Children's Hosp of Los Angeles is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.48x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$44
Average discount available for prompt cash payment at this facility.
Insurance Median
$29
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: $44 (73%)
Insurance Median: $29 (48%)
Cash: $44 (73% of Medicare)
Ins. Median: $29 (48% 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 |
|---|---|---|
| Inland Empire Health Plan | $7 - $44 | 12% |
| Medi-Cal | $7 - $23 | 12% |
| Molina | $7 - $44 | 12% |
| Medicare (plans) | $8 - $75 | 13% |
| Shriners Hospital | $13 | 22% |
| Medicaid / KanCare | $13 - $44 | 22% |
| Axminster Medical Group | $14 - $21 | 23% |
| Facey Medical Group | $14 - $21 | 23% |
| St. John's Health Clinic | $14 - $21 | 23% |
| UnitedHealthcare | $16 - $72 | 27% |
| Culinary Health Fund | $16 - $24 | 27% |
| Intl - Global Excel Management | $16 - $29 | 27% |
| Intl - Quality Health Management | $17 - $29 | 28% |
| Intl - Aixin Life Insurance Co | $17 - $29 | 28% |
| Non-Contract Payors | $18 | 30% |
| Health Net | $18 - $55 | 30% |
| Incentive Health Network | $18 | 30% |
| Beech Street | $18 | 30% |
| Emanate Health Medical Center Mmc | $20 | 33% |
| Kaiser | $20 - $25 | 33% |
| Cigna | $21 | 35% |
| Altamed | $21 - $44 | 35% |
| Pioneer Prov Ntwk | $22 | 37% |
| Exceptional Care Medical Group | $22 - $44 | 37% |
| La Care | $22 - $44 | 37% |
| Sansum Clinic | $22 | 37% |
| Gemcare IPA | $22 | 37% |
| Accarent Health | $22 | 37% |
| Staywell Insurance | $22 | 37% |
| Citrus Valley Phys Grp | $22 - $29 | 37% |
| Mercy Care | $22 | 37% |
| Managed Care Systems | $22 | 37% |
| Caloptima | $23 - $44 | 38% |
| Book Md | $23 | 38% |
| Aetna | $23 - $24 | 38% |
| Good Samaritan Medical Group | $23 | 38% |
| Applecare Medical Group | $23 - $44 | 38% |
| Choice Medical Group | $24 | 40% |
| Intl - Global Medical Management | $24 | 40% |
| Community Care | $24 | 40% |
| National Healthcare Solutions | $24 | 40% |
| Health Care La IPA | $24 - $44 | 40% |
| Blue Shield | $24 - $44 | 40% |
| Global Care Medical Group | $24 - $44 | 40% |
| Centinela Valley IPA | $24 - $44 | 40% |
| Bella Vista Med Grp | $24 - $44 | 40% |
| Valley Presbyterian Hospital | $24 - $44 | 40% |
| Premier Physicians Ntwk | $24 - $44 | 40% |
| Emanate Health Medical Center Commercial | $26 | 43% |
| Ventura County Health Plan | $26 | 43% |
| Private Hlthcare System | $26 | 43% |
| Preferred IPA - Commercial | $26 | 43% |
| Allied Pacific IPA | $26 - $44 | 43% |
| Seoul Medical Group | $26 | 43% |
| Alhambra Hospital Medical Center | $26 - $44 | 43% |
| Self-Pay | $26 | 43% |
| Los Angeles Medical Center IPA | $26 - $44 | 43% |
| Delta Health Systems | $26 | 43% |
| Family Care Specialists | $26 - $44 | 43% |
| Blue Cross Blue Shield | $26 - $44 | 43% |
| Access Medical Group | $26 | 43% |
| Providence Health Network | $26 | 43% |
| Bright Medical Associates | $26 | 43% |
| Sanus Health | $26 | 43% |
| Heritage Provider Network | $27 - $44 | 45% |
| St Francis Medical Center | $28 - $44 | 46% |
| Sierra Health and Life Insurance Company | $28 | 46% |
| Marian Health Services | $29 | 48% |
| Star Healthcare Network Commercial | $29 | 48% |
| Seaside Health Plan | $29 - $44 | 48% |
| Intl - Erv Travel Services | $29 - $31 | 48% |
| Calvo Selectcare | $29 | 48% |
| Intl - Msh China Enterprise Services | $29 | 48% |
| Prime Health Services | $29 | 48% |
| Serra Community Med Clinic - Commercial | $29 | 48% |
| Lakewood Health Plan | $29 | 48% |
| Choc Health Alliance | $29 | 48% |
| Redlands Community Hospital | $29 | 48% |
| Plotkin Health | $29 | 48% |
| Axis Services International | $29 | 48% |
| Cedar Sinai Med Grp | $29 | 48% |
| Intl - Concierge Healthcare Services | $29 | 48% |
| Embassy - Saudi Arabia | $29 | 48% |
| Beaver Medical Group | $31 | 51% |
| Angeles IPA | $31 - $44 | 51% |
| Memorialcare Med Foundation | $31 | 51% |
| Korean American Med Grp | $31 | 51% |
| Primecare Medical Network | $31 | 51% |
| Multiplan | $31 | 51% |
| Interlink Health Services | $33 | 55% |
| Hispanic Physician IPA | $33 - $44 | 55% |
| Associated Hispanic Physicians IPA | $33 - $44 | 55% |
| Prospect Medical Group | $33 | 55% |
| Embassy - Kuwait | $33 | 55% |
| Watts Healthcare Mmc | $34 - $44 | 56% |
| El Proyecto Del Barrio | $34 - $44 | 56% |
| Hollywood Presbyterian Medical Center | $35 - $44 | 58% |
| Self-Pay International | $35 | 58% |
| Embassy - All Others | $35 | 58% |
| Community Family Care IPA | $35 - $44 | 58% |
| Serendib Healthways Mmc | $38 - $44 | 63% |
| Serra Community Med Clinic | $40 - $44 | 66% |
| Care 1St | $41 - $44 | 68% |
| White Memorial Medical Center | $41 - $44 | 68% |
| Adventist Health Physicians | $42 - $137 | 70% |
| Regent Medical Group | $42 - $44 | 70% |
| Primary Care and Pediatric IPA | $42 - $44 | 70% |
| Karing Physicians Medical Group | $42 - $44 | 70% |
| Mabuhay Medical Group | $42 - $44 | 70% |
| Avalon IPA | $42 - $44 | 70% |
| Noble Community Medical Associates | $42 - $44 | 70% |
| Cal Care IPA | $43 - $44 | 71% |
| Imperial Health Holdings Medical Group | $44 | 73% |
| Dignity Health | $44 | 73% |
| Southland San Gabriel Valley Medical Group | $44 | 73% |
| San Judas Med Grp | $44 | 73% |
| Crown City Medical Group | $44 | 73% |
| Family Health Alliance Med Grp | $44 | 73% |
| Asian Community Medical Group | $44 | 73% |
| Employee Health Systems Med Grp | $44 | 73% |
| Souther California Hosp System - Mmc | $44 | 73% |
| Southern Atlantic Medical Group Mmc | $44 - $56 | 73% |
| Preferred IPA | $44 | 73% |
| Kern Family Health Plan | $44 | 73% |
| Point Comfort Underwriters | $44 | 73% |
| Healthy New Life Medical Corp | $44 | 73% |
| California Pacific Physicians Medical Group | $44 | 73% |
| Cencal Health | $44 | 73% |
| Community Care IPA Mmc | $44 | 73% |
| Beverly Hospital | $44 | 73% |
| Pacific Alliance Medical Center | $44 | 73% |
| Gold Coast Health Plan | $44 | 73% |
| Superior Choice Medical Group | $44 | 73% |
| Accountable Health | $44 | 73% |
| Champus | $74 | 123% |