EKG tracing at San Gabriel Valley Medical Center. CPT 93005.
What San Gabriel Valley Medical Center publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$145cash price (self-pay)
$581list price
$7.99–$581range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Medi-Cal Managed Care | Blue Cross Medi-Cal | $8.92 |
| Allied Physicians | Allied Physicians Medi-Cal | $13.12 |
| Emanate Health | Emanate Health Medi-Cal | $13.12 |
| AHMC Medi-Cal Reciprocity | AHMC Medi-Cal Reciprocity | $16.40 |
| AltaMed Health Network | AltaMed Health Network Medi-Cal | $16.40 |
| Beverly Hospital | BEVERLY HOSPITAL MCL | $16.40 |
| HealthNet Medi-Cal Non-Contract | Health Net Medi-Cal | $16.40 |
| AIDS Healthcare Foundation | AIDS Hlth Fndn/Positive Hlth Mcal | $18.82 |
| Avanti | Avanti Medi-cal | $18.82 |
| Healthy Way LA | Healthy Way LA | $18.82 |
| Hollywood Presbyterian Adv Med Mcal | Hollywood Presbyterian Adv Med M | $18.82 |
| Hollywood Presbyterian Medpoint Mcal | Hollywood Presbyterian Medpoint | $18.82 |
| LA Care Health Plan | LA Care Healthy Kids and Medi-Cal Managed Care | $18.86 |
| Care 1st Health Plan | BLUE SHIELD PROMISE HEALTH PLAN MCAL | $22.96 |
| Blue Cross Medi-Cal Managed Care | Blue Cross Healthy Families | $25.87 |
| United Healthcare Senior Medicare Advantage | United Healthcare Senior | $41.14 |
| Blue Cross of CA | Blue Cross of CA | $79.41 |
| Care 1st Health Plan | Care 1st Health Plan Healthy Families | $145 |
| Blue Shield of California | Blue Shield Value Network Covered Californ | $171 |
| AHMC Reciprocity | AHMC Reciprocity Commercial | $174 |
| AHMC Reciprocity | AHMC Reciprocity Sr | $174 |
| Blue Shield of California | Blue Shield | $191 |
| Alignment Healthplan | Alignment Healthplan Allied Pacific Sr Cap | $203 |
| Brand New Day | Brand New Day Allied Pacific SR Cap | $203 |
| Clever Care | Clever Care Accountable Phys Cap | $203 |
| Clever Care | Clever Care Allied Phys Cap | $203 |
| AIDS Healthcare Foundation | AIDS Healthcare Foundation | $232 |
| Health Net | Health Net Enhanced PPO | $280 |
| Facey Medical | Facey Medical | $291 |
| Cigna Healthcare | Cigna HMO/PPO/Open Access/Network | $296 |
Inpatient
$145cash price (self-pay)
$581list price
$386–$581range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Beech Street | Beech Street PPO | $465 |
| MultiPlan | MultiPlan PPO | $523 |
| PPO Next | PPO Next | $523 |
| Other Non Contracted Commercial | Other Non Contracted Commercial | $581 |
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