CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Ascension Seton Northwest

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $59
Cash Discount Price: $154
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Ascension Seton Northwest is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $154. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 11113 Research Boulevard, Austin, TX.

Cash / Self-Pay

$154

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $154 (256%)

Insurance Median: $59 (98%)

Cash: $154 (256% of Medicare)

Ins. Median: $59 (98% 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.

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
Champva	$8 - $9	13%
Tricare	$54 - $58	90%
Aarp Mc Wellmed	$56	93%
Sendero Chap	$57	95%
Addr Cancer Together	$58	96%
Aetna	$58 - $364	96%
Covid Hrsa	$58	96%
Cshcn Cidc	$58	96%
Devoted Health Mcr Replacement	$58	96%
Humana	$58	96%
Medicare (plans)	$58	96%
Research Study	$58	96%
Smarthealth	$58	96%
Superior Allwell	$58	96%
Wellcare Med Advantage	$58	96%
Connected Senior Care	$59	98%
UnitedHealthcare	$59	98%
Pphp Mcr Advantage	$60	100%
Tx Independence Hp	$60	100%
Occunet	$81	134%
Blue Cross Blue Shield	$94 - $228	156%
Sendero Idealcare	$101	168%
Ambetter / Centene	$104	173%
Seton Performance Plus	$134	222%
Cigna	$187	310%
Covenant Health	$249 - $364	413%

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 $154.
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 Ascension Seton Northwest 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.