CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Methodist Hospital Atascosa

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $262
Cash Discount Price: $945
vs. Medicare Baseline: 4.35x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Methodist Hospital Atascosa is $262. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $945. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.35x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.

Cash / Self-Pay

$945

Average discount available for prompt cash payment at this facility.

Insurance Median

$262

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: $945 (1568%)

Insurance Median: $262 (435%)

Cash: $945 (1568% of Medicare)

Ins. Median: $262 (435% 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 435% of the Medicare baseline (a markup of 335%). 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
Superior Health	$47	78%
Community First Health Plans	$113 - $255	187%
Blue Cross Blue Shield	$136 - $311	226%
Imperial Insurance	$180	299%
Oscar	$189	314%
United	$232 - $425	385%
Aetna	$250 - $473	415%
Cigna	$276 - $366	458%
Focus Health Solutions	$284	471%
Healthcare Highways	$291	483%
Valenz	$331	549%
Evry Health	$348	577%
Curative Administrators	$378	627%
First Health	$417	692%
Healthsmart Preferred Care	$520	863%
Multiplan	$709 - $803	1176%
Triwest Health Alliance	$709	1176%

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 $945.
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 Methodist Hospital Atascosa 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.