CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Medina Regional Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $120
  • Cash Discount Price: $197
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Medina Regional Hospital is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.99x the Medicare baseline. Located in 3100 Avenue E, Hondo, TX.
Cash / Self-Pay
$197

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $197 (327%)
Insurance Median: $120 (199%)
Cash: $197 (327% of Medicare)
Ins. Median: $120 (199% 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
UnitedHealthcare $52 - $164 86%
Superior Health Plan $54 - $85 90%
Community First Health Plan $66 - $219 110%
Amerivantage $72 119%
Aetna $77 - $131 128%
Cigna $87 144%
Blue Advantage $109 181%
Curative $131 - $175 217%
Benefit Administrators $219 363%
Blue Cross Blue Shield $291 483%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Avenue E, Hondo, TX 78861
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals