CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: St Luke's Patients Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $108
Cash Discount Price: $469
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at St Luke's Patients Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $469. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.79x the Medicare baseline. Located in 4600 East Sam Houston Parkway South, Pasadena, TX.

Cash / Self-Pay

$469

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $469 (778%)

Insurance Median: $108 (179%)

Cash: $469 (778% of Medicare)

Ins. Median: $108 (179% 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.

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
Blue Cross Blue Shield	$60 - $175	100%
Cigna	$60 - $939	100%
Humana	$60	100%
Kelsey	$60	100%
Aetna	$61	101%
Amerivantage	$61	101%
United	$61 - $342	101%
Devoted	$64	106%
Scanhealth	$64	106%
Ambetter / Centene	$89	148%
Community Health Choice	$89	148%
Wellpoint	$89	148%
Bright Health	$93	154%
Coventry	$872	1447%
First Health	$872	1447%
Healthsmart	$939	1558%
Multiplan	$1,006	1669%

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 $469.
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 St Luke's Patients 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.