CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Memorial Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $77
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Memorial Medical Center is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.28x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

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: $104 (173%)
Insurance Median: $77 (128%)
Cash: $104 (173% of Medicare)
Ins. Median: $77 (128% 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
Ambetter / Centene $2 - $99 3%
Healthcare Highways-All Plans $5 - $236 8%
Prime Healthcare Services-All Plans $5 - $206 8%
Blue Cross Blue Shield $6 - $161 10%
Corvel Work Comp-All Plans $6 - $251 10%
Humana $6 - $236 10%
Independent Med Sys Ppo-All Plans $6 - $251 10%
Multiplan Mcr Adv $6 - $83 10%
Multiplan Phcs Ppo-All Other Plans $6 - $251 10%
Provider Select Ppo-All Plans $6 - $251 10%
Three Rivers Ppo-All Plans $6 - $251 10%
Usa Mso - All Plans $6 - $251 10%
Amerigroup Mcr Adv-All Other Plans $7 - $83 12%
Care Improvement Plus - All Other Plans $7 - $83 12%
Care Improvement Plus Mcr $7 - $83 12%
Superior Allwell Mcr Adv-All Other Plans $7 - $83 12%
Triwest Va Pccc-All Plans $7 - $81 12%
UnitedHealthcare $7 - $236 12%
Universal American Mcr-All Other Plans $7 - $83 12%
Universal American Snp $7 - $87 12%
Amerigroup Chip $8 - $142 13%
Amerigroup Star $8 - $142 13%
Amerigroup Star Kids $8 - $142 13%
Amerigroup Star Plus $8 - $142 13%
Comm Health Chip $8 - $142 13%
Comm Health Mcaid Hmo $8 - $149 13%
Comm Health Perinatal-All Other Plans $8 - $142 13%
Comm Health Star $8 - $149 13%
Coventry First Hlth Hmo Ppo-All Other Plans $8 - $236 13%
Coventry First Hlth Mcr Adv $8 - $83 13%
Molina Chip/Star-All Plans $8 - $142 13%
Scott & White Chip/Star-All Plans $8 - $142 13%
Superior Chip/Star $8 - $142 13%
Texas Childrens Hp - All Plans $8 - $142 13%
Galaxy Health Network-All Plans $10 - $251 17%
Capstar Health Network-All Plans $20 - $236 33%
Cigna $20 - $221 33%
Aetna $219 - $236 363%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals