CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Baylor Scott & White Medical Center Hillcrest

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $239
Cash Discount Price: $323
vs. Medicare Baseline: 3.97x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Baylor Scott & White Medical Center Hillcrest is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $323. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.97x the Medicare baseline. Located in 100 Hillcrest Medical Blvd, Waco, TX.

Cash / Self-Pay

$323

Average discount available for prompt cash payment at this facility.

Insurance Median

$239

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: $323 (536%)

Insurance Median: $239 (397%)

Cash: $323 (536% of Medicare)

Ins. Median: $239 (397% 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 397% of the Medicare baseline (a markup of 297%). 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
Baylor Scott & White Health Plan	$53 - $230	88%
Humana	$56 - $376	93%
Triwest	$56	93%
American Health Plan	$59	98%
Blue Cross Blue Shield	$59 - $190	98%
Corvel	$59	98%
Prime Health Services	$59	98%
Procare Advantage	$59	98%
UnitedHealthcare	$64 - $279	106%
Superior Health Plan	$65	108%
Injury Management Organization	$70	116%
Sedgwick	$84	139%
Texas Workforce Commission	$177	294%
Cigna	$276 - $324	458%
Midcoast	$296	491%
Quiktrip	$296	491%
University Of Mary Hardin-Baylor	$312	518%
Independent Medical System	$323	536%
Imagine Health	$337	559%
Curative	$349	579%
First Health	$376	624%
Healthsmart	$376 - $403	624%
Private Health Care System	$403	669%
Aetna	$892	1480%

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 $323.
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 Baylor Scott & White Medical Center Hillcrest 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.