CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: The Heart Hospital Baylor Denton

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $277
Cash Discount Price: $302
vs. Medicare Baseline: 4.60x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at The Heart Hospital Baylor Denton is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $302. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.60x the Medicare baseline. Located in 2801 South Mayhill Road, Denton, TX.

Cash / Self-Pay

$302

Average discount available for prompt cash payment at this facility.

Insurance Median

$277

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: $302 (501%)

Insurance Median: $277 (460%)

Cash: $302 (501% of Medicare)

Ins. Median: $277 (460% 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 460% of the Medicare baseline (a markup of 360%). 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
Baylor Scott & White Health Plan	$53 - $292	88%
Superior Health Plan	$55 - $59	91%
Humana	$56 - $352	93%
Triwest	$56	93%
American Health Plan	$59	98%
Blue Cross Blue Shield	$59 - $338	98%
Corvel	$59	98%
Healthspring	$59	98%
Prime Health Services	$59	98%
Procare Advantage	$59	98%
UnitedHealthcare	$65 - $348	108%
Ambetter / Centene	$116	192%
Cigna	$248 - $292	411%
Employers Health Network	$277	460%
Quiktrip	$277	460%
University Of Mary Hardin-Baylor	$292	484%
Imagine Health	$315	523%
Curative	$327	543%
First Health	$352	584%
Healthsmart	$352 - $378	584%
Private Health Care System	$378	627%
Aetna	$892	1480%

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 $302.
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 The Heart Hospital Baylor Denton 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.