CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $263
Cash Discount Price: Unavailable
vs. Medicare Baseline: 4.36x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at University of Texas M. D. Anderson Cancer Center is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.36x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$263

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%)

Insurance Median: $263 (436%)

Ins. Median: $263 (436% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 436% of the Medicare baseline (a markup of 336%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Vacare	$97 - $154	161%
Texaschildrens	$117 - $154	194%
Medicare (plans)	$154	256%
Memorialhermannhealth	$228 - $262	378%
Blue Cross Blue Shield	$245 - $252	407%
Cigna	$245 - $262	407%
UnitedHealthcare	$245 - $262	407%
Aetna	$252 - $262	418%
Humana	$259 - $270	430%
Ontarioministriesofhealth	$259	430%
Beijingst.Lucia	$262	435%
Embassyofqatar	$262	435%
Emergingtherapysolutions	$262 - $280	435%
Interlink	$262 - $298	435%
Tricare	$262	435%
Emergingtherapysolutions_Cancercare	$280	465%
Interlink_Cancercare	$280	465%
Saudiarmedforces	$280	465%
Uae_Medical	$280	465%
Uaepoliceattache	$280	465%
Healthsmart	$298	494%
Multiplan	$298 - $301	494%
Phcs	$298 - $301	494%
Vantage	$298	494%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93005.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Texas M. D. Anderson Cancer Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93005.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.