EKG tracing at CHOC at Mission Hospital. CPT 93005.
What CHOC at Mission Hospital publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$1,085cash price (self-pay)
$1,085list price
$16.40–$1,085range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal Out of County | Medi-Cal Out of County Medi-Cal | $18.82 |
| Molina Medical Centers - Medi-Cal | Molina Medical Centers - Medi-Cal | $21.64 |
| Heritage Provider Network | Heritage Provider Network-Medi-Cal | $23.52 |
| Monarch Health Plan | Monarch Health Plan/Medi-Cal/Cal Optima | $23.52 |
| Medi-Cal Out of County-LA Care | LA Care Medi-Cal Out of County | $24.47 |
| CALOPTIMA Direct | CalOPTIMA Direct | $26.35 |
| Medi-Cal Kaiser | Medi-Cal Kaiser | $28.23 |
| Blue Cross of California | Blue Cross of California VIVITY HMO In Net | $42.73 |
| Inland Empire Health Plan | IEHP Medi-Cal Out of County-Inland Empire | $58.09 |
| Blue Cross of California | Blue Cross of California HMO/POS In Net | $72.08 |
| Blue Cross of California | Blue Cross of California PPO/POS Out Net | $72.08 |
| Blue Shield-TriWest-TriCare Programs | Blue Shield-TriWest-TriCare Pro | $75.87 |
| Health Net Federal Services | Health Net Federal Services-Tricare Prog | $75.87 |
| Aetna US Healthcare | Aetna US Healthcare HMO/POS In Net | $455 |
| Aetna US Healthcare | Aetna US Healthcare PPO/POS Out Net | $455 |
| MemorialCare MG (formerly Bristol Park MG) HMO/POS In Net | MemorialCa | $597 |
| Monarch Health Plan | Monarch Health Plan | $624 |
| Cigna Healthcare of California | Cigna EPO/PPO | $648 |
| CIGNA HealthCare of California | Cigna Healthcare HMO/POS In Net | $648 |
| Anaheim Memorial Medical Center | Anaheim Memorial Medical Center | $651 |
| Arta Health Network | Arta Health Network HMO/POS In Net | $651 |
| Family Choice Health Network (Fountain Valley Regional Hospital) | Fam | $651 |
| Heritage Provider Network | Heritage Provider Network-HMO | $651 |
| Kaiser Foundation Hospitals | Kaiser Foundation Hospitals HMO | $651 |
| Monarch Healthcare IPA | Monarch Healthcare IPA HMO/POS In Net | $651 |
| Blue Cross of California | Blue Cross of California Select PPO Out Net | $656 |
| Affiliated Doctors of Orange County | Affiliated Doctors of Orange Cou | $705 |
| Bright Medical Group | Bright Medical Group HMO/POS In Net | $705 |
| Greater Newport Physicians | Greater Newport Physicians HMO/POS In Net | $705 |
| Health Net | Health Net HMO/POS In Net | $725 |
Inpatient
$1,085cash price (self-pay)
$1,085list price
$488–$1,085range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Office of Refugee Resettlement-Point Comfort | Point Comfort Underwrit | $488 |
| Anaheim Memorial Medical Center | Anaheim Memorial Medical Center | $651 |
| Affiliated Health Funds | Affiliated Health Funds PPO | $868 |
| PPO Next | PPO Next PPO | $868 |
| MultiPlan | MultiPlan PPO | $977 |
| Other Payor | Other Payor | $1,085 |
| Self Pay | Self Pay | $1,085 |
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