CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Medical Center Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $132
Cash Discount Price: $211
vs. Medicare Baseline: 2.19x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Medical Center Hospital is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.19x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$211

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $211 (350%)

Insurance Median: $132 (219%)

Cash: $211 (350% of Medicare)

Ins. Median: $132 (219% 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 219% of the Medicare baseline (a markup of 119%). 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
Corvel Wc	$43	71%
Medicaid / KanCare	$45 - $47	75%
Superior Chips	$45	75%
UnitedHealthcare	$50 - $330	83%
Aetna	$56 - $218	93%
Humana	$56	93%
Novitas Solutions	$58	96%
Triwest Va Ccn	$58	96%
Care Improvement Plus	$59	98%
Ambetter / Centene	$61	101%
Wellcare By Allwell	$61	101%
Group Resources	$71	118%
Blue Cross Blue Shield	$76 - $142	126%
Health Select	$101 - $142	168%
Workers Comp	$119	197%
Caprock	$132 - $158	219%
Healthsmart Preferred Care	$132 - $198	219%
90 Degree Benefits	$158	262%
Cigna	$163 - $167	270%
State Comptroller	$165	274%
Texas Mutual Wc	$218	362%
Geha	$225	373%
Firstcare	$231	383%

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 $211.
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 Medical Center Hospital 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.