CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Cook Childrens Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $174
Cash Discount Price: $297
vs. Medicare Baseline: 2.89x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Cook Childrens Medical Center is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $297. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.89x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$297

Average discount available for prompt cash payment at this facility.

Insurance Median

$174

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: $297 (493%)

Insurance Median: $174 (289%)

Cash: $297 (493% of Medicare)

Ins. Median: $174 (289% 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 289% of the Medicare baseline (a markup of 189%). 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
Beacon	$35 - $254	58%
Firstcare	$35 - $461	58%
Health Plan W/O Uhrip	$35 - $193	58%
Health Plan W. Uhrip	$48 - $219	80%
Rightcare	$48 - $254	80%
United Community	$51 - $202	85%
Wellpoint	$51 - $202	85%
Blue Cross Blue Shield	$52 - $519	86%
Molina	$54 - $213	90%
El Paso Health First	$64 - $254	106%
Superior Health	$64 - $254	106%
Tx Children Health	$64 - $254	106%
UnitedHealthcare	$64 - $490	106%
Aetna	$70 - $490	116%
S&W Health	$121 - $484	201%
Cigna	$123 - $490	204%
Healthscope	$123 - $490	204%
Imagine Health	$123 - $490	204%
Humana	$126 - $507	209%
Multiplan	$126 - $501	209%
First Health	$127 - $507	211%
Galaxy Health	$130 - $519	216%
Healthsmart	$130 - $519	216%
Usamco	$133 - $530	221%

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 $297.
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 Cook Childrens Medical Center 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.