CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Methodist Richardson Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $63
  • Cash Discount Price: $316
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Methodist Richardson Medical Center is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 2831 E President George Bush Highway, Richardson, TX.
Cash / Self-Pay
$316

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $316 (524%)
Insurance Median: $63 (105%)
Cash: $316 (524% of Medicare)
Ins. Median: $63 (105% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $13 - $63 22%
Aetna $59 - $96 98%
Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] $59 98%
Medicare (plans) $59 - $63 98%
UnitedHealthcare $59 - $63 98%
Ust Health Proof [1005] $59 98%
Wellcare [7016] $59 98%
American Health Advantage Of Texas [7099] $62 103%
Cigna $62 - $110 103%
Globalhealth [1003] $62 103%
Procare Advantage [7018] $62 103%
Humana $63 105%
Southwestern Health Resources Swhr [7015] $63 105%
Provider Partners Health Plan [7025] $64 106%
Coralvita [9216] $71 118%
Alternative Service Concepts [8005] $74 123%
Oscar Insurance Company [2057] $77 128%
Bright Healthcare [2222] $83 138%
Molina [3017] $86 143%
Wellpoint Marketplace Exchange [3071] $92 153%
90 Degree Benefit [3057] $98 163%
Allied National [2031] $98 163%
Entrust/90 Degree [2058] $98 163%
Ambetter / Centene $101 168%
Friday Health Plan [2061] $101 168%
Imperial Insurance Companies [3073] $107 178%
Web Tpa [3049] $110 183%
Evry Health [1013] $119 197%
Sana Benefits [3069] $119 197%
Velocity [3070] $119 197%
Health Plans Inc [5017] $148 246%
Medical Cost Containment Professionals [3059] $148 246%
Dart Member Care [3039] $160 265%
Healthscope Benefits [2052] $160 265%
Healthscope Benefits [3063] $160 265%
Medicaid / KanCare $260 431%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2831 E President George Bush Highway, Richardson, TX 75082
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals