CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Valley Regional Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $658
Cash Discount Price: $2,020
vs. Medicare Baseline: 10.92x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Valley Regional Medical Center is $658. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,020. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 10.92x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.

Cash / Self-Pay

$2,020

Average discount available for prompt cash payment at this facility.

Insurance Median

$658

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: $2,020 (3352%)

Insurance Median: $658 (1092%)

Cash: $2,020 (3352% of Medicare)

Ins. Median: $658 (1092% 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 1092% of the Medicare baseline (a markup of 992%). 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
Humana	$118	196%
Superior Health Plan	$141	234%
Blue Cross Blue Shield	$171 - $909	284%
Texas Athletic Network	$300 - $600	498%
United	$424 - $909	704%
Aetna	$432 - $856	717%
Texas Workforce Commission	$485	805%
Healthcare Highways	$515	854%
Oscar	$549	911%
Cigna	$654 - $862	1085%
Averde Health	$666	1105%
Curative Administrators	$808	1341%
Healthsmart Preferred Care	$868 - $1,717	1440%
First Health	$1,161	1926%
National Healthcare Solutions	$1,212	2011%
Southwest Medical	$1,212	2011%
Coastal Comp	$1,313	2179%
Total E&P Mexico	$1,313	2179%
Affiliated Healthcare	$1,373	2278%
Mcm Maxcare	$1,616	2681%
Pronet Ppo	$1,616	2681%
Usa Managed Care	$1,616	2681%
Beech Street	$1,818	3016%

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 $2,020.
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 Valley Regional Medical 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.