CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Methodist McKinney Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $61
Cash Discount Price: $316
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Methodist McKinney Hospital is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.01x the Medicare baseline. Located in 8000 W Eldorado Pkwy Bldg C Suite C, McKinney, TX.

Cash / Self-Pay

$316

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

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: $316 (524%)

Insurance Median: $61 (101%)

Cash: $316 (524% of Medicare)

Ins. Median: $61 (101% 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
Aetna	$14 - $94	23%
Web Tpa [3049]	$15 - $17	25%
Blue Cross Blue Shield	$25 - $61	41%
Champva [1000]	$57	95%
Tricare	$57	95%
Triwest Wps [8010]	$57	95%
Veterans Administration [9001]	$57	95%
Medicare (plans)	$58 - $62	96%
UnitedHealthcare	$58 - $62	96%
Ust Health Proof [1005]	$58	96%
Wellcare [7016]	$58	96%
American Health Advantage Of Texas [7099]	$61	101%
Cigna	$61	101%
Globalhealth [1003]	$61	101%
Humana	$61	101%
Procare Advantage [7018]	$61	101%
Southwestern Health Resources Swhr [7015]	$61	101%
Provider Partners Health Plan [7025]	$63	105%
Alternative Service Concepts [8005]	$72	119%
Oscar Insurance Company [2057]	$75	124%
Bright Healthcare [2222]	$81	134%
Molina [3017]	$84	139%
Wellpoint Marketplace Exchange [3071]	$90	149%
90 Degree Benefit [3057]	$96	159%
Allied National [2031]	$96	159%
Entrust/90 Degree [2058]	$96	159%
Ambetter / Centene	$99	164%
Friday Health Plan [2061]	$99	164%
Imperial Insurance Companies [3073]	$104	173%
Evry Health [1013]	$116	192%
Sana Benefits [3069]	$116	192%
Velocity [3070]	$116	192%

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 $316.
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 Methodist McKinney Hospital 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.