CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Cook Childrens Medical Center Prosper

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $227
Cash Discount Price: $365
vs. Medicare Baseline: 3.77x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Cook Childrens Medical Center Prosper is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.77x the Medicare baseline. Located in 4100 W University Drive, Prosper, TX.

Cash / Self-Pay

$365

Average discount available for prompt cash payment at this facility.

Insurance Median

$227

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: $365 (606%)

Insurance Median: $227 (377%)

Cash: $365 (606% of Medicare)

Ins. Median: $227 (377% 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 377% of the Medicare baseline (a markup of 277%). 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	$132 - $192	219%
Health Plan W/O Uhrip	$132 - $311	219%
Superior Health	$132 - $192	219%
Wellpoint	$138 - $201	229%
Blue Cross Blue Shield	$142 - $519	236%
Aetna	$145 - $490	241%
United Community	$146 - $253	242%
UnitedHealthcare	$174 - $490	289%
Beacon	$182 - $311	302%
El Paso Health First	$182 - $311	302%
Tx Children Health	$182 - $311	302%
Firstcare	$191 - $461	317%
S&W Health	$333 - $484	553%
Cigna	$337 - $490	559%
Healthscope	$337 - $490	559%
Imagine Health	$337 - $490	559%
Humana	$344 - $507	571%
Multiplan	$344 - $501	571%
First Health	$348 - $507	577%
Galaxy Health	$356 - $519	591%
Healthsmart	$356 - $519	591%
Usamco	$364 - $530	604%

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 $365.
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 Prosper 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.