CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Medical City Las Colinas

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $504
Cash Discount Price: $1,597
vs. Medicare Baseline: 8.36x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Medical City Las Colinas is $504. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,597. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 8.36x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.

Cash / Self-Pay

$1,597

Average discount available for prompt cash payment at this facility.

Insurance Median

$504

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: $1,597 (2650%)

Insurance Median: $504 (836%)

Cash: $1,597 (2650% of Medicare)

Ins. Median: $504 (836% 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 836% of the Medicare baseline (a markup of 736%). 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	$58	96%
Superior Health Plan	$108 - $116	179%
Blue Cross Blue Shield	$130 - $736	216%
Aetna	$207 - $1,211	343%
Cigna	$207 - $619	343%
United	$273 - $295	453%
Oscar	$319 - $345	529%
Healthcare Highways	$376 - $561	624%
Evry Health	$396 - $428	657%
Unicare	$538 - $1,659	893%
Curative Administrators	$614 - $663	1019%
City Of Mckinney	$691 - $746	1147%
National Choicecare	$768 - $829	1274%
Pc Texas Partners	$845 - $912	1402%
Physicians Coop Of Tx	$845 - $912	1402%
Rockport Health Group	$845 - $912	1402%
Averde Health, Inc	$891 - $962	1478%
Coastal Comp Health Networks	$1,075 - $1,161	1784%
Mega Life	$1,075 - $1,161	1784%
Multiplan Phcs	$1,075 - $1,161	1784%
Healthsmart Preferred Care	$1,090 - $1,178	1809%
Lewisville Isd/Dls Consulting	$1,152 - $1,244	1911%
Usa Managed Care	$1,229 - $1,327	2039%
Usc Health Services	$1,229 - $1,327	2039%
Galaxy Health Network	$1,305 - $1,410	2165%
Independent Medical Systems	$1,536 - $1,659	2549%
National Healthcare Solutions	$1,536 - $1,659	2549%

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 $1,597.
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 City Las Colinas 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.