CMS Price Transparency Data

Electrocardiogram (ECG/EKG)

Facility: Cook Childrens Medical Center Prosper

Billing Code: 93000 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93000
Insurance Median: $302
Cash Discount Price: $493
vs. Medicare Baseline: 19.66x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (ECG/EKG) at Cook Childrens Medical Center Prosper is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $493. Compared to the federal Medicare reimbursement reference rate of $15.36, this hospital’s rate is 19.66x the Medicare baseline. Located in 4100 W University Drive, Prosper, TX.

Cash / Self-Pay

$493

Average discount available for prompt cash payment at this facility.

Insurance Median

$302

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$15.36

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.36 (100%)

Cash / Self-Pay: $493 (3210%)

Insurance Median: $302 (1966%)

Cash: $493 (3210% of Medicare)

Ins. Median: $302 (1966% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.36 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 1966% of the Medicare baseline (a markup of 1866%). 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
Health Plan W. Uhrip	$218	1419%
Health Plan W/O Uhrip	$218 - $355	1419%
Superior Health	$218	1419%
Wellpoint	$229	1491%
Blue Cross Blue Shield	$236 - $592	1536%
Aetna	$240 - $559	1563%
United Community	$243 - $289	1582%
UnitedHealthcare	$289 - $559	1882%
Beacon	$302 - $355	1966%
El Paso Health First	$302 - $355	1966%
Tx Children Health	$302 - $355	1966%
Firstcare	$317 - $526	2064%
S&W Health	$552	3594%
Cigna	$559	3639%
Healthscope	$559	3639%
Imagine Health	$559	3639%
Humana	$572 - $578	3724%
Multiplan	$572	3724%
First Health	$578	3763%
Galaxy Health	$592	3854%
Healthsmart	$592	3854%
Usamco	$605	3939%

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 $493.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93000.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cook Childrens Medical Center Prosper is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93000.
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.